Provider Demographics
NPI:1720483969
Name:STEVEN J. SCHARF
Entity Type:Organization
Organization Name:STEVEN J. SCHARF
Other - Org Name:UPTOWN DENTAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNDER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-385-4700
Mailing Address - Street 1:642 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-6518
Mailing Address - Country:US
Mailing Address - Phone:360-385-4700
Mailing Address - Fax:360-379-9730
Practice Address - Street 1:642 HARRISON ST
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-6518
Practice Address - Country:US
Practice Address - Phone:360-385-4700
Practice Address - Fax:360-379-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5534706Medicaid