Healthcare Provider Details

I. General information

NPI: 1942314109
Provider Name (Legal Business Name): WENDY E SHARPE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 02/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 MONTAGUE CITY RD
TURNERS FALLS MA
01376-1830
US

IV. Provider business mailing address

2285 NORTHAMPTON ST
HOLYOKE MA
01040-3447
US

V. Phone/Fax

Practice location:
  • Phone: 413-772-3748
  • Fax: 413-774-3072
Mailing address:
  • Phone: 413-534-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number14308
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14308
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: