Individual provider Active NPI

Rory Sharp, D.D.S.

  • General Practice Dentistry
  • Saint Marys, GA
National Provider Identifier
1689059255
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN016111 Issued in GA
Practice address
206 Arnow Dr
Saint Marys, GA 31558-4071
Phone
(912) 882-2005
Fax
(912) 882-2342
NPI assigned
Jul 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN016111 GA Primary

Addresses

Primary practice location

206 Arnow Dr
Saint Marys, GA 31558-4071

Mailing address

206 Arnow Dr
Saint Marys, GA 31558-4071
Phone (912) 882-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 13, 2026 through Jul 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN016111GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
P L Hooton DMD PC Dentist PastSince Aug 9, 2020 Accepting new patients
Sharp Smiles, LLC PastSince Aug 9, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1689059255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ARNOW DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584071",
            "telephone_number": "912-882-2005",
            "fax_number": "912-882-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ARNOW DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584071",
            "telephone_number": "912-882-2005",
            "fax_number": "912-882-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "RORY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-24",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN016111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.