Provider Demographics
NPI:1952389801
Name:VETTER, SHARON SCHWENDEMAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:SCHWENDEMAN
Last Name:VETTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 HANOVER DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-8566
Mailing Address - Country:US
Mailing Address - Phone:859-737-2912
Mailing Address - Fax:
Practice Address - Street 1:239 WALTON AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1451
Practice Address - Country:US
Practice Address - Phone:859-254-3030
Practice Address - Fax:859-253-9428
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY65381223G0001X
MI29010176061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice