Eric Sharks, DDS, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

3252 Issued in AR

Legal business name

ERIC SHARKS, DDS, P.C.

Practice address

1350 S Gutensohn Rd
Suite 1
Springdale, AR 72762-5117

Phone

(479) 872-2700

Fax

(479) 872-2722

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eric Sharks, DDS

Title

Practice Owner

Phone

(479) 872-2700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1780834929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S GUTENSOHN RD",
            "address_2": "SUITE 1",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625117",
            "telephone_number": "479-872-2700",
            "fax_number": "479-872-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S GUTENSOHN RD",
            "address_2": "SUITE 1",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625117",
            "telephone_number": "479-872-2700",
            "fax_number": "479-872-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC SHARKS, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "SHARKS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "479-872-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.