Provider Demographics
NPI:1922158625
Name:SMITH-SCOTT, SHERRIE ELIZABETH (DDS)
Entity Type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:ELIZABETH
Last Name:SMITH-SCOTT
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 1:1483 JOHN ROBERT DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-1772
Mailing Address - Country:US
Mailing Address - Phone:770-961-8300
Mailing Address - Fax:
Practice Address - Street 1:1483 JOHN ROBERT DR
Practice Address - Street 2:SUITE B
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1772
Practice Address - Country:US
Practice Address - Phone:770-961-8300
Practice Address - Fax:770-961-5040
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0112221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice