Provider Demographics
NPI:1841416989
Name:SHEARIN, ANTHONY MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:MICHAEL
Last Name:SHEARIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:997 WINDY HILL RD SE
Mailing Address - Street 2:SUITE C
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-2012
Mailing Address - Country:US
Mailing Address - Phone:770-434-2110
Mailing Address - Fax:770-434-2330
Practice Address - Street 1:997 WINDY HILL RD SE
Practice Address - Street 2:SUITE C
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-2012
Practice Address - Country:US
Practice Address - Phone:770-434-2110
Practice Address - Fax:770-434-2330
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN012480122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist