Provider Demographics
NPI:1770616583
Name:GUNSETT, SHARON (DDS)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:GUNSETT
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 1:420 KEENAN AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-3120
Mailing Address - Country:US
Mailing Address - Phone:239-489-2088
Mailing Address - Fax:239-489-0901
Practice Address - Street 1:7050 WINKLER RD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-7048
Practice Address - Country:US
Practice Address - Phone:239-489-2626
Practice Address - Fax:239-489-0901
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL110851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice