Provider Demographics
NPI:1083744650
Name:BELTRANE, SHERYL ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:ANN
Last Name:BELTRANE
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 1:14845 NACOGDOCHES RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-1926
Mailing Address - Country:US
Mailing Address - Phone:210-656-1515
Mailing Address - Fax:
Practice Address - Street 1:14845 NACOGDOCHES RD
Practice Address - Street 2:SUITE 5
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1926
Practice Address - Country:US
Practice Address - Phone:210-656-1515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice