Provider Demographics
NPI:1538220249
Name:SHARON L DOW DDS
Entity type:Organization
Organization Name:SHARON L DOW DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-849-9195
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:211 HARLEY ST
Mailing Address - City:JONESVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49250
Mailing Address - Country:US
Mailing Address - Phone:517-849-9195
Mailing Address - Fax:517-849-9611
Practice Address - Street 1:211 HARLEY ST
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:MI
Practice Address - Zip Code:49250
Practice Address - Country:US
Practice Address - Phone:517-849-9195
Practice Address - Fax:517-849-9611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI74061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty