Provider Demographics
NPI:1730348756
Name:PAULK SCHERER, DENA (DMD)
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:
Last Name:PAULK SCHERER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 E SPRING ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-2350
Mailing Address - Country:US
Mailing Address - Phone:770-267-6822
Mailing Address - Fax:
Practice Address - Street 1:416 E SPRING ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-2350
Practice Address - Country:US
Practice Address - Phone:706-752-1910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN012984122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist