Provider Demographics
NPI:1578639225
Name:MACLEAN, SHERRIE KATHLEEN (DDS)
Entity Type:Individual
Prefix:
First Name:SHERRIE
Middle Name:KATHLEEN
Last Name:MACLEAN
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 1:866 SEVEN HILLS DRIVE
Mailing Address - Street 2:104
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052
Mailing Address - Country:US
Mailing Address - Phone:702-567-5449
Mailing Address - Fax:702-450-5490
Practice Address - Street 1:866 SEVEN HILLS DRIVE
Practice Address - Street 2:104
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-567-5449
Practice Address - Fax:702-450-5490
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3583122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist