Provider Demographics
NPI:1639200116
Name:HAMLETT, SHERYLE LYNN (DDS)
Entity Type:Individual
Prefix:MS
First Name:SHERYLE
Middle Name:LYNN
Last Name:HAMLETT
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:PO BOX 870846
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99687-0846
Mailing Address - Country:US
Mailing Address - Phone:907-357-8367
Mailing Address - Fax:
Practice Address - Street 1:951 E BOGARD RD
Practice Address - Street 2:SUITE 203
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654
Practice Address - Country:US
Practice Address - Phone:907-376-2456
Practice Address - Fax:907-376-2458
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK913122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist