Provider Demographics
NPI:1225103005
Name:MEADE, SHERRY D (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:D
Last Name:MEADE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 BATH AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2612
Mailing Address - Country:US
Mailing Address - Phone:606-325-2520
Mailing Address - Fax:606-325-8371
Practice Address - Street 1:1124 BATH AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2612
Practice Address - Country:US
Practice Address - Phone:606-325-2520
Practice Address - Fax:606-325-8371
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY66901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice