Provider Demographics
NPI:1710057146
Name:BERNADETT, SHERI LYNN (DDS MSCD)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:LYNN
Last Name:BERNADETT
Suffix:
Gender:F
Credentials:DDS MSCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 PROVIDENCE MINE RD
Mailing Address - Street 2:#211
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959
Mailing Address - Country:US
Mailing Address - Phone:530-265-4002
Mailing Address - Fax:530-265-7901
Practice Address - Street 1:204 PROVIDENCE MINE RD
Practice Address - Street 2:#211
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959
Practice Address - Country:US
Practice Address - Phone:530-265-4002
Practice Address - Fax:530-265-7901
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA397561223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics