MEDICARE: SHARON D GAYLORD DMD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	13305	MD

General Provider Information

NPI Number	:	1427111863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON D GAYLORD DMD PC

Provider Business Mailing Address
First Line	:	PO BOX 1625
Second Line	:
City	:	SOLOMONS
State	:	MD
Zip	:	20688-1625
Country	:	US
Telephone Number	:	410-326-0800
Fax Number	:	410-326-0802

Provider Business Practice Location Address
First Line	:	20 CRESTON LN
Second Line	:	SUITE A
City	:	SOLOMONS
State	:	MD
Zip	:	20688-3015
Country	:	US
Telephone Number	:	410-326-0800
Fax Number	:	410-326-0802

Authorized Official
Title or Position	:	CHAIRMAN
Name	:	DR. SHARON DENISE GAYLORD
Credential	:	DMD
Telephone Number	:	410-326-0800

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	10/16/2007

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