Provider Demographics
NPI:1386102713
Name:THOMAS D SHARP DMD PC
Entity type:Organization
Organization Name:THOMAS D SHARP DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-236-5343
Mailing Address - Street 1:100 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-5644
Mailing Address - Country:US
Mailing Address - Phone:256-236-5343
Mailing Address - Fax:
Practice Address - Street 1:100 E 7TH ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-5644
Practice Address - Country:US
Practice Address - Phone:256-236-5343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4126Other510-77791