Bethany Joseph Sharpe, DDS

Individual provider Active NPI General Practice Dentistry · Ovilla, TX

NPI 1760895874 · NPPES record last updated Mar 11, 2020

Key facts

NPI: 1760895874
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 30073 (TX)
Practice address: 105 Ovilla Creek CT Ste 200
Ovilla, TX 75154-1816
Phone: (972) 223-0313
NPI assigned: Jun 5, 2014
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Herzog Lakewood PC Dentist · Dallas, TX · NPI 1619217908

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
6489	LA	MD	Mental Health Counselor
30073	TX	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Herzog Lakewood PC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	30073	TX	Yes
General Practice Dentistry	1223G0001X	6489	LA

Addresses

Primary practice location

105 Ovilla Creek CT Ste 200
Ovilla, TX 75154-1816

Mailing address

105 Ovilla Creek CT Ste 200
Ovilla, TX 75154-1816
Phone (972) 223-0313

Other providers in Ovilla, TX

All providers in Ovilla, TX · General Practice Dentistry in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.