Provider Demographics
NPI:1992890537
Name:ORNSTEIN, SHARON H (DDS)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:H
Last Name:ORNSTEIN
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 1:10 MEDICAL PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7840
Mailing Address - Country:US
Mailing Address - Phone:972-243-5035
Mailing Address - Fax:972-243-8574
Practice Address - Street 1:10 MEDICAL PARKWAY SUITE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234
Practice Address - Country:US
Practice Address - Phone:972-243-5035
Practice Address - Fax:972-243-8574
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX197011223S0112X, 204E00000X, 2082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
1352258OtherUNITED CONCORDIA (D) INS
TX19701OtherDELTA DENTAL
TX89D455OtherBCBS PROVIDER #