Provider Demographics
NPI:1518096866
Name:PEARSON, SHARON GAYE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:GAYE
Last Name:PEARSON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SHARON
Other - Middle Name:GAYE
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:10225 STIRLING RD
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-6526
Mailing Address - Country:US
Mailing Address - Phone:954-434-5440
Mailing Address - Fax:954-434-5434
Practice Address - Street 1:10225 STIRLING RD
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-6526
Practice Address - Country:US
Practice Address - Phone:954-434-5440
Practice Address - Fax:954-434-5434
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN123231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice