Provider Demographics
NPI:1891815023
Name:SHARBER, ANTHONY W (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:W
Last Name:SHARBER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANTHONY
Other - Middle Name:W
Other - Last Name:SHARBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 1759
Mailing Address - Street 2:
Mailing Address - City:GLEN ROSE
Mailing Address - State:TX
Mailing Address - Zip Code:76043-1759
Mailing Address - Country:US
Mailing Address - Phone:254-897-9200
Mailing Address - Fax:
Practice Address - Street 1:1994 COUNTY ROAD 321
Practice Address - Street 2:
Practice Address - City:GLEN ROSE
Practice Address - State:TX
Practice Address - Zip Code:76043-5776
Practice Address - Country:US
Practice Address - Phone:254-897-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX136891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice