Healthcare Provider Details

I. General information

NPI: 1174537468
Provider Name (Legal Business Name): THOMAS D. SHARPLES, DDS, MS, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 ALHAMBRA BLVD SUITE 340
SACRAMENTO CA
95816-5244
US

IV. Provider business mailing address

1315 ALHAMBRA BLVD SUITE 340
SACRAMENTO CA
95816-5244
US

V. Phone/Fax

Practice location:
  • Phone: 916-736-3101
  • Fax: 916-736-3075
Mailing address:
  • Phone: 916-736-3101
  • Fax: 916-736-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number20045
License Number StateCA

VIII. Authorized Official

Name: DR. THOMAS D. SHARPLES
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 916-736-3101