Provider Demographics
NPI:1679670038
Name:SHAROW, RALPH J (DMD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:J
Last Name:SHAROW
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 1:2109 N ASHFORD CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-4360
Mailing Address - Country:US
Mailing Address - Phone:615-739-4850
Mailing Address - Fax:
Practice Address - Street 1:2120 MURFREESBORO PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3311
Practice Address - Country:US
Practice Address - Phone:615-366-7154
Practice Address - Fax:615-399-9702
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN83501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice