Sharp Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHARP FAMILY DENTISTRY

Practice address

202 E 1St St
Fennville, MI 49408-5121

Phone

(269) 561-8661

NPI assigned

Apr 29, 2021

Last updated

Dec 15, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Courtney Sharp, D.D.S.NPI 1548678667

Title

Owner

Phone

(269) 561-2904

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney Leigh Sharp, D.D.S.

  • Dentist
  • Fennville, MI
  • NPI 1548678667
  NPD Authorized official
• Dennis Anthony Icabone, DDS

  • Dentist
  • Fennville, MI
  • NPI 1518022532
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1114500949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "FENNVILLE",
            "state": "MI",
            "postal_code": "494080269",
            "telephone_number": "269-503-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E 1ST ST",
            "city": "FENNVILLE",
            "state": "MI",
            "postal_code": "494085121",
            "telephone_number": "269-561-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-561-2904",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh Cameron Little Sr., P.T.
• McAp Fennville Opco LLC
• James Peter Motiff, PH.D.
• Jennifer L Rewa, OT
• Arthur H Rossof, MD
• Courtney Leigh Sharp, D.D.S.
• Solutions Services, LLC
• Megan Elise Turnbull, RD
• Theresa Zaszczurynski, LMSW

• Dental Clinic/Center in Fennville, MI
• Providers in Fennville, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.