Provider Demographics
NPI:1356441422
Name:FIX, SHARON RENEE (DDS)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:RENEE
Last Name:FIX
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S CLEVELAND AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-2034
Mailing Address - Country:US
Mailing Address - Phone:605-338-8151
Mailing Address - Fax:605-338-5542
Practice Address - Street 1:101 S CLEVELAND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-2034
Practice Address - Country:US
Practice Address - Phone:605-338-8151
Practice Address - Fax:605-338-5542
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM7281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice