Provider Demographics
NPI:1942567045
Name:ERIC M. SCHARF
Entity Type:Organization
Organization Name:ERIC M. SCHARF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-661-6006
Mailing Address - Street 1:48 VICENTE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1336
Mailing Address - Country:US
Mailing Address - Phone:415-661-6006
Mailing Address - Fax:415-661-6115
Practice Address - Street 1:48 VICENTE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127-1336
Practice Address - Country:US
Practice Address - Phone:415-661-6006
Practice Address - Fax:415-661-6115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51135261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery