Provider Demographics
NPI:1326361528
Name:SCHROTT, SHARON (DMD, MMSC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:SCHROTT
Suffix:
Gender:F
Credentials:DMD, MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 CONANT ST STE 2
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-2954
Mailing Address - Country:US
Mailing Address - Phone:978-774-1177
Mailing Address - Fax:
Practice Address - Street 1:36 CONANT ST STE 2
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-2954
Practice Address - Country:US
Practice Address - Phone:978-774-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1855241223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics