Provider Demographics
NPI:1073635785
Name:SCOTT, SHERRI ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:ANN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38001 34TH CT S
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-8762
Mailing Address - Country:US
Mailing Address - Phone:253-671-9966
Mailing Address - Fax:
Practice Address - Street 1:3700 US HIGHWAY 98 N UNIT 105
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33809-3863
Practice Address - Country:US
Practice Address - Phone:863-225-4585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27876122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist