Provider Demographics
NPI:1760425771
Name:SCHARF, ALAN R (DDSFAGD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:R
Last Name:SCHARF
Suffix:
Gender:M
Credentials:DDSFAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 BILLY BARTON CIR
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-5702
Mailing Address - Country:US
Mailing Address - Phone:410-560-2141
Mailing Address - Fax:
Practice Address - Street 1:2300 BEL AIR RD
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2716
Practice Address - Country:US
Practice Address - Phone:410-879-8424
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD78201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
T77388Medicare UPIN