Provider Demographics
NPI:1275181059
Name:SHARON A. MANAOIS, DDS, INC.
Entity Type:Organization
Organization Name:SHARON A. MANAOIS, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:AGSAO
Authorized Official - Last Name:MANAOIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:209-406-2606
Mailing Address - Street 1:8942 GLACIER POINT DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95212-3467
Mailing Address - Country:US
Mailing Address - Phone:209-406-2606
Mailing Address - Fax:
Practice Address - Street 1:756 PORTER AVE STE 100
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-4233
Practice Address - Country:US
Practice Address - Phone:209-406-2606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-26
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental