Sharon A Davis, D.M.D.

Individual provider Active NPI General Practice Dentistry · Moon Township, PA

NPI 1922198340 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1922198340
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS020724L (PA)
Practice address
956 Beaver Grade Rd
Moon Township, PA 15108-2839
Phone
(412) 262-3588
NPI assigned
Oct 14, 2006
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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DS020724LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Knepper Dental PC Past
since Dec 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS020724L PA Yes

Addresses

Primary practice location

956 Beaver Grade Rd
Moon Township, PA 15108-2839

Mailing address

956 Beaver Grade Rd
Moon Township, PA 15108-2839
Phone (412) 262-3588

Other providers in Moon Township, PA

All providers in Moon Township, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.