Provider Demographics
NPI:1053463489
Name:SHARROCK, MICHAEL FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FRANCIS
Last Name:SHARROCK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1457 MOUNT PLEASANT RD
Mailing Address - Street 2:SUITE #103
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-3919
Mailing Address - Country:US
Mailing Address - Phone:757-482-1212
Mailing Address - Fax:757-482-7039
Practice Address - Street 1:1457 MOUNT PLEASANT RD
Practice Address - Street 2:SUITE #103
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-3919
Practice Address - Country:US
Practice Address - Phone:757-482-1212
Practice Address - Fax:757-482-7039
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010079951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice