Provider Demographics
NPI:1366063067
Name:SCOTT, SHERYL ANN (RDH)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:ANN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 LEMMON DR # 276
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-8701
Mailing Address - Country:US
Mailing Address - Phone:775-234-8608
Mailing Address - Fax:
Practice Address - Street 1:650 COLT DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-8655
Practice Address - Country:US
Practice Address - Phone:775-234-8608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV101459124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist