Provider Demographics
NPI:1366651622
Name:CLEAR, SHERYL D (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:D
Last Name:CLEAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:17011 BENNETT DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9118
Mailing Address - Country:US
Mailing Address - Phone:303-870-7247
Mailing Address - Fax:303-840-0208
Practice Address - Street 1:10841 CROSSROADS DR
Practice Address - Street 2:SUITE 2E2
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9000
Practice Address - Country:US
Practice Address - Phone:303-840-1097
Practice Address - Fax:303-840-0208
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6920122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist