Provider Demographics
NPI:1194741926
Name:AVANT, SHARON MICHELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MICHELLE
Last Name:AVANT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:971 PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4447
Mailing Address - Country:US
Mailing Address - Phone:831-375-4750
Mailing Address - Fax:831-375-4265
Practice Address - Street 1:971 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4447
Practice Address - Country:US
Practice Address - Phone:831-375-4750
Practice Address - Fax:831-375-4265
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA373851223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics