Provider Demographics
NPI:1144946435
Name:SHARON FAMILY & PEDIATRIC DENTISTRY INC.
Entity type:Organization
Organization Name:SHARON FAMILY & PEDIATRIC DENTISTRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MINDA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:SAPIR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-488-7855
Mailing Address - Street 1:26 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2012
Mailing Address - Country:US
Mailing Address - Phone:781-488-7855
Mailing Address - Fax:
Practice Address - Street 1:26 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-2012
Practice Address - Country:US
Practice Address - Phone:781-806-0989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1992816266OtherNPI
1457731945OtherNPI