MEDICARE: DR. SHARMEEN CHAUDHRY BDS

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	1223G0001X	General Practice Dentistry	71-000226	OH

General Provider Information

NPI Number	:	1689952095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARMEEN CHAUDHRY BDS

Provider Business Mailing Address
First Line	:	305 W. 12TH AVE
Second Line	:	DENTAL FACULTY PRACTICE
City	:	COLUMBUS
State	:	OH
Zip	:	43218
Country	:	US
Telephone Number	:	614-292-1472
Fax Number	:	614-688-3553

Provider Business Practice Location Address
First Line	:	305 WEST 12TH AVENUE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43218-2353
Country	:	US
Telephone Number	:	614-292-1472
Fax Number	:	614-688-3553

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

Provider Enumeration Date	:	08/02/2011
Last Update Date	:	08/02/2011

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