Provider Demographics
NPI:1225103757
Name:WHELTON, SHARON F (DDS)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:F
Last Name:WHELTON
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 1:11 GALLOWAY AVE
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-4905
Mailing Address - Country:US
Mailing Address - Phone:410-667-4820
Mailing Address - Fax:410-667-4845
Practice Address - Street 1:11 GALLOWAY AVE
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-4905
Practice Address - Country:US
Practice Address - Phone:410-667-4820
Practice Address - Fax:410-667-4845
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD75881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA142582OtherBCBS UNITED CONCORDIA
MD6606OtherCAREFIRST