Provider Demographics
NPI:1366570053
Name:CROSSEN, SHERRIE L (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:SHERRIE
Middle Name:L
Last Name:CROSSEN
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 NE 3RD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5541
Mailing Address - Country:US
Mailing Address - Phone:561-276-3889
Mailing Address - Fax:561-276-9930
Practice Address - Street 1:505 NE 3RD ST STE 2
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5541
Practice Address - Country:US
Practice Address - Phone:561-276-3889
Practice Address - Fax:561-276-9930
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN130511223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics