Provider Demographics
NPI:1487808630
Name:SHARP, MARC COLMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:COLMAN
Last Name:SHARP
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1127 ELDRIDGE PKWY
Mailing Address - Street 2:SUITE 1040
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1771
Mailing Address - Country:US
Mailing Address - Phone:281-493-9395
Mailing Address - Fax:281-493-9291
Practice Address - Street 1:1127 ELDRIDGE PKWY
Practice Address - Street 2:SUITE 1040
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1771
Practice Address - Country:US
Practice Address - Phone:281-493-9395
Practice Address - Fax:281-493-9291
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice