Provider Demographics
NPI:1427398064
Name:SHARYLAND DENTAL CARE PLLC
Entity type:Organization
Organization Name:SHARYLAND DENTAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-581-2773
Mailing Address - Street 1:2407 E GRIFFIN PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3301
Mailing Address - Country:US
Mailing Address - Phone:956-581-2773
Mailing Address - Fax:956-581-8183
Practice Address - Street 1:2407 E GRIFFIN PKWY
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3301
Practice Address - Country:US
Practice Address - Phone:956-581-2773
Practice Address - Fax:956-581-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11372261QD0000X
TX20855261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental