Provider Demographics
NPI:1285849612
Name:HATCHER, SHARON RENEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:RENEE
Last Name:HATCHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:RANEE
Other - Last Name:BAXLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1013 GILMER STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:SULPHER SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-4372
Mailing Address - Country:US
Mailing Address - Phone:903-438-8125
Mailing Address - Fax:908-885-7478
Practice Address - Street 1:1013 GILMER STREET
Practice Address - Street 2:SUITE A
Practice Address - City:SULPHER SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-4372
Practice Address - Country:US
Practice Address - Phone:903-438-8125
Practice Address - Fax:908-885-7478
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18314122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist