Healthcare Provider Details

I. General information

NPI: 1144946435
Provider Name (Legal Business Name): SHARON FAMILY & PEDIATRIC DENTISTRY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 E CHESTNUT ST
SHARON MA
02067-2012
US

IV. Provider business mailing address

26 E CHESTNUT ST
SHARON MA
02067-2012
US

V. Phone/Fax

Practice location:
  • Phone: 781-806-0989
  • Fax:
Mailing address:
  • Phone: 781-488-7855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MINDA ROSE SAPIR
Title or Position: OWNER
Credential: DMD
Phone: 781-488-7855