Provider Demographics
NPI:1750500997
Name:CHAN, SHARON (DDS)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CHAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:HSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:17916 CASTLE BEND DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6800
Mailing Address - Country:US
Mailing Address - Phone:214-387-9990
Mailing Address - Fax:972-735-7876
Practice Address - Street 1:4949 HEDGCOXE RD
Practice Address - Street 2:#160
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3898
Practice Address - Country:US
Practice Address - Phone:214-387-9990
Practice Address - Fax:214-387-9991
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice