Provider Demographics
NPI:1699845834
Name:SHERRILL, EDWARD EARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:EARL
Last Name:SHERRILL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5326 W MARKHAM ST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3528
Mailing Address - Country:US
Mailing Address - Phone:501-666-6477
Mailing Address - Fax:501-666-5218
Practice Address - Street 1:5326 W MARKHAM ST
Practice Address - Street 2:SUITE #3
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3528
Practice Address - Country:US
Practice Address - Phone:501-666-6477
Practice Address - Fax:501-666-5218
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR29491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice