Provider Demographics
NPI:1376540880
Name:SHARP, DONALD G (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:G
Last Name:SHARP
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 1:31226 LEWIS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7998
Mailing Address - Country:US
Mailing Address - Phone:303-674-5566
Mailing Address - Fax:303-674-8911
Practice Address - Street 1:31226 LEWIS RIDGE RD
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-7998
Practice Address - Country:US
Practice Address - Phone:303-674-5566
Practice Address - Fax:303-674-8911
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104930122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist