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NPI Code Detail

MEDICARE: DR. SUMEDHA SHARMA DMD, MSD

MEDICARE:  DR. SUMEDHA  SHARMA  DMD, MSD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry39161TX

General Provider Information

NPI Number : 1568861052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUMEDHA SHARMA DMD, MSD
Provider Business Mailing Address
First Line : 3600 FM 1488 RD STE 90
Second Line :
City : CONROE
State : TX
Zip : 77384-3818
Country : US
Telephone Number : 412-339-4441
Fax Number :
Provider Business Practice Location Address
First Line : 3600 FM 1488 RD STE 90
Second Line :
City : CONROE
State : TX
Zip : 77384-3818
Country : US
Telephone Number : 412-339-4441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2014
Last Update Date : 11/30/2022

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Directions to “ DR. SUMEDHA SHARMA DMD, MSD” Practice Location

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