Provider Demographics
NPI:1558578732
Name:SHARKEY, DENNIS A III (DMD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:A
Last Name:SHARKEY
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 SPRUCE ST
Mailing Address - Street 2:#3F
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-6078
Mailing Address - Country:US
Mailing Address - Phone:215-219-5173
Mailing Address - Fax:
Practice Address - Street 1:21 INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1610
Practice Address - Country:US
Practice Address - Phone:610-644-4080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027089L1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics