Provider Demographics
NPI:1568480648
Name:MILLER SHERIFF, SANDRA M (DMD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:M
Last Name:MILLER SHERIFF
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8561 N LAKE DASHA DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3141
Mailing Address - Country:US
Mailing Address - Phone:954-444-9157
Mailing Address - Fax:
Practice Address - Street 1:9720 STIRLING RD STE 211
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8015
Practice Address - Country:US
Practice Address - Phone:954-437-6855
Practice Address - Fax:954-431-5740
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN11649122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist