Provider Demographics
NPI:1982628731
Name:SHARPLEY, RONALD SHEPPARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:SHEPPARD
Last Name:SHARPLEY
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 1:1618 GRANDIN RD SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-2308
Mailing Address - Country:US
Mailing Address - Phone:540-345-3894
Mailing Address - Fax:
Practice Address - Street 1:1618 GRANDIN RD SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-2308
Practice Address - Country:US
Practice Address - Phone:540-345-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4298122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist