Provider Demographics
NPI:1417281031
Name:OPP, SHERI ANN (DDS)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:ANN
Last Name:OPP
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 1:5252 SUNRISE BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-3532
Mailing Address - Country:US
Mailing Address - Phone:916-454-0860
Mailing Address - Fax:916-863-6532
Practice Address - Street 1:5252 SUNRISE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3532
Practice Address - Country:US
Practice Address - Phone:916-454-0860
Practice Address - Fax:916-863-6532
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47401122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist