Provider Demographics
NPI:1356630685
Name:FAUST, SHERRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:
Last Name:FAUST
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:FAUST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6514 ABBOTTSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-3106
Mailing Address - Country:US
Mailing Address - Phone:213-821-6814
Mailing Address - Fax:
Practice Address - Street 1:UNIV OF S CALIF SCHOOL OF DENTISTRY
Practice Address - Street 2:925 W.34TH ST. RM. # 4208
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0001
Practice Address - Country:US
Practice Address - Phone:213-821-6814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27428122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist