Provider Demographics
NPI:1639478399
Name:SHARP, FRANK A (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
Last Name:SHARP
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 E BRADFORD PKWY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-6565
Mailing Address - Country:US
Mailing Address - Phone:417-888-3030
Mailing Address - Fax:417-888-3029
Practice Address - Street 1:1524 E BRADFORD PKWY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6565
Practice Address - Country:US
Practice Address - Phone:417-888-3030
Practice Address - Fax:417-888-3029
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0155391223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics