Individual
SHARON M DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
950 S CHERRY ST STE 507, DENVER, CO 80246-2664
(720) 842-7002
Mailing address
950 S CHERRY ST STE 507, DENVER, CO 80246-2664
(720) 842-7002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15027
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00202682
STATE LICENSE NUMBER
CO
Enumeration date
01/26/2007
Last updated
01/29/2020
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