Provider Demographics
NPI:1770661811
Name:WEISSMAN, SHERRI LYNN (DMD,MS)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNN
Last Name:WEISSMAN
Suffix:
Gender:F
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 INVERNESS CENTER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7633
Mailing Address - Country:US
Mailing Address - Phone:205-991-9292
Mailing Address - Fax:205-991-9152
Practice Address - Street 1:202 INVERNESS CENTER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7633
Practice Address - Country:US
Practice Address - Phone:205-991-9292
Practice Address - Fax:205-991-9152
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL42681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics