Healthcare Provider Details

I. General information

NPI: 1043438088
Provider Name (Legal Business Name): SHARLYN ZIPRICK DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 11/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 BROOKSIDE AVE STE A
REDLANDS CA
92373-4402
US

IV. Provider business mailing address

1233 BROOKSIDE AVE STE A
REDLANDS CA
92373-4402
US

V. Phone/Fax

Practice location:
  • Phone: 909-793-6700
  • Fax:
Mailing address:
  • Phone: 909-793-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number32002
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: