Provider Demographics
NPI:1649233594
Name:SHARP, WILLIAM NEWTON (DMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:NEWTON
Last Name:SHARP
Suffix:
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 1:3910 ROSEMONT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-5626
Mailing Address - Country:US
Mailing Address - Phone:706-327-5158
Mailing Address - Fax:706-327-5159
Practice Address - Street 1:3910 ROSEMONT DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5626
Practice Address - Country:US
Practice Address - Phone:706-327-5158
Practice Address - Fax:706-327-5159
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA72411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice