Individual
DR. CHARLES ALAN SHERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15591 HWY 43, RUSSELLVILLE, AL 35653
(256) 332-9733
(256) 331-0780
Mailing address
PO BOX 336, 15991 HWY 43, RUSSELLVILLE, AL 35653
(256) 332-9733
(256) 331-0780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3897
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51076493
BCBS
AL
Enumeration date
08/24/2006
Last updated
07/08/2007
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