Provider Demographics
NPI:1558433839
Name:SEDWICK, CHERIE YUEN
Entity Type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:YUEN
Last Name:SEDWICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 N LUTHER RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47122-9123
Mailing Address - Country:US
Mailing Address - Phone:812-923-8849
Mailing Address - Fax:812-923-1092
Practice Address - Street 1:1033 N LUTHER RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:IN
Practice Address - Zip Code:47122-9123
Practice Address - Country:US
Practice Address - Phone:812-923-8849
Practice Address - Fax:812-923-1092
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010647A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice