Individual
THOMAS D. SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 E 7TH ST, ANNISTON, AL 36201-5644
(256) 236-5343
(256) 236-5359
Mailing address
100 E 7TH ST, ANNISTON, AL 36201-5644
(256) 236-5343
(256) 236-5359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4126
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77791
BLUE CROSS PROVIDER #
AL
Enumeration date
02/22/2007
Last updated
12/20/2010
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