Provider Demographics
NPI:1609614551
Name:JEAN BAPTISTE, SHARYN JOANNE (DDS)
Entity type:Individual
Prefix:DR
First Name:SHARYN
Middle Name:JOANNE
Last Name:JEAN BAPTISTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 BROOKLYN AVE APT 6B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4226
Mailing Address - Country:US
Mailing Address - Phone:347-864-3425
Mailing Address - Fax:
Practice Address - Street 1:1830 BROOKLYN AVE APT 6B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4226
Practice Address - Country:US
Practice Address - Phone:347-864-3425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI03052900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist