MEDICARE: NATASHA VARMA DMD

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
1	1223P0221X	Pediatric Dentistry	5942	AL

General Provider Information

NPI Number	:	1659635712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA VARMA DMD

Provider Business Mailing Address
First Line	:	7569 STONE CREEK CT
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36695-4486
Country	:	US
Telephone Number	:	205-306-0105
Fax Number	:

Provider Business Practice Location Address
First Line	:	9807 MCSARA CT
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5461
Country	:	US
Telephone Number	:	251-626-9924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2012
Last Update Date	:	09/11/2020

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