Provider Demographics
NPI:1194879239
Name:SHARPLESS, JOCELYN RENEE (DMD)
Entity type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:RENEE
Last Name:SHARPLESS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 THIRD AVE
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:15042-2112
Mailing Address - Country:US
Mailing Address - Phone:724-770-0300
Mailing Address - Fax:
Practice Address - Street 1:511 THIRD AVE
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:PA
Practice Address - Zip Code:15042-2112
Practice Address - Country:US
Practice Address - Phone:724-770-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035822122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist