Most Relevant Information
Provider Data
NPI Number: | 1003555202 |
Provider Name: | TABITHA LYNN SHERRILL DDS |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | 12013785A |
Most Important Dates
Enumeration Date: | 06/03/2022 |
Last Updated: | 02/08/2024 |
Provider Practice Location
200 ALFRED STREET
MICHIGAN CITY
IN
463603564
Practice Location Phone/Fax
Phone: | 2198726200 |
Fax: |
Provider Mailing Location
1068 N COUNTY LINE RD
WESTVILLE
IN
463919436
Provider Mailing Phone/Fax
Phone: | 2192293186 |
Fax: |