Individual
SHARON L BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901010400
MI
1223X0008X
Oral and Maxillofacial Radiology Dentistry
2901010400
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D010400
BCBS OF MI DENTAL
MI
Enumeration date
03/13/2007
Last updated
09/11/2025
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