Provider Demographics
NPI:1134375348
Name:YEE, SHERRY (DDS)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:YEE
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 1:136 N WASHINGTON AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-2118
Mailing Address - Country:US
Mailing Address - Phone:201-820-2000
Mailing Address - Fax:
Practice Address - Street 1:136 N WASHINGTON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-1776
Practice Address - Country:US
Practice Address - Phone:201-820-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023804001223G0001X
NJ22DI023804021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice