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NPI Code Detail

MEDICARE: DR. PRIYANKA SHARMA DDS

MEDICARE:  DR. PRIYANKA  SHARMA  DDS
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
11223G0001XGeneral Practice Dentistry019028660IL

General Provider Information

NPI Number : 1740576990
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRIYANKA SHARMA DDS
Provider Business Mailing Address
First Line : 430 W ERIE ST STE 200
Second Line :
City : CHICAGO
State : IL
Zip : 60654-6920
Country : US
Telephone Number : 312-274-0308
Fax Number : 312-944-9499
Provider Business Practice Location Address
First Line : 4039 W NORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-5219
Country : US
Telephone Number : 773-782-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2011
Last Update Date : 06/27/2011

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Directions to “ DR. PRIYANKA SHARMA DDS” Practice Location

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