Provider Demographics
NPI:1518496199
Name:BINNS, SIERRA LYNN (DDS)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:LYNN
Last Name:BINNS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:LYNN
Other - Last Name:DRIMAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1205 NE CORONADO DR
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-2928
Mailing Address - Country:US
Mailing Address - Phone:816-228-4090
Mailing Address - Fax:
Practice Address - Street 1:1205 NE CORONADO DR
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2928
Practice Address - Country:US
Practice Address - Phone:816-228-4090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20170164721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice