Marianne Mills Sheroan, D.M.D, M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7612 Issued in KY

Practice address

1107 Crowne Pointe Business Center
Suite F
Elizabethtown, KY 42701

Phone

(270) 769-3858

NPI assigned

Oct 24, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nicholas C. Murphy, DMD, PSC

  • Pediatric Dentistry
  • Elizabethtown, KY
  • NPI 1518140698
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1346230240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 CAMARA CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CROWNE POINTE BUSINESS CENTER",
            "address_2": "SUITE F",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-769-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEROAN",
        "first_name": "MARIANNE",
        "middle_name": "MILLS",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "7612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017683",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Shelton
• Trina Shelton
• Addis Lee Shepherd, THERAPIST
• Jessica A Shepherd
• Savannah Dean Shepherd
• Rhonda Shircliff, ARNP
• Dennis Gerald Shoff, MD
• Cheryl Shook, CADC
• Deborah A Short
• Sara Elizabeth Shroyer, MSW, CSW

• Pediatric Dentistry in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.