MEDICARE: DR. BHAGWATI SHARMA

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	122300000X	Dentist	D-00148	KY
2	122300000X	Dentist	DN015456	GA

General Provider Information

NPI Number	:	1821511056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHAGWATI SHARMA

Provider Business Mailing Address
First Line	:	1220 WESLEYAN PL
Second Line	:
City	:	BRASELTON
State	:	GA
Zip	:	30517-3495
Country	:	US
Telephone Number	:	678-823-0370
Fax Number	:

Provider Business Practice Location Address
First Line	:	1806 OVER LAKE DR SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-1745
Country	:	US
Telephone Number	:	770-760-7900
Fax Number	:

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

Provider Enumeration Date	:	07/19/2017
Last Update Date	:	03/18/2026

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Directions to “ DR. BHAGWATI SHARMA ” Practice Location

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