Individual
MARY LAUREN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
710 N MAIN ST, CLINTON, TN 37716-3143
(865) 425-8803
Mailing address
2419 SURREY LN SE, DECATUR, AL 35601-6903
(256) 318-3800
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
11050
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
06/01/2017
Last updated
10/01/2019
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