Provider Demographics
NPI:1750432746
Name:SHARON G. CITRON, DMD, INC.
Entity type:Organization
Organization Name:SHARON G. CITRON, DMD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:G
Authorized Official - Last Name:CITRON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:216-382-5007
Mailing Address - Street 1:5010 MAYFIELD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2695
Mailing Address - Country:US
Mailing Address - Phone:216-382-5007
Mailing Address - Fax:216-382-5009
Practice Address - Street 1:5010 MAYFIELD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2695
Practice Address - Country:US
Practice Address - Phone:216-382-5007
Practice Address - Fax:216-382-5009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH170551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1962426197OtherNPI