Individual
WILLIAM PATRICK SHARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
342 CATHERINE ST, WALLA WALLA, WA 99362-3057
(509) 525-9474
(509) 525-4723
Mailing address
342 CATHERINE ST, WALLA WALLA, WA 99362-3057
(509) 525-9474
(509) 525-4723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008075
WA
1223G0001X
General Practice Dentistry
601923709
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93-0953511
FEDERAL TAX ID
WA
Enumeration date
04/26/2007
Last updated
05/05/2020
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