Healthcare Provider Details

I. General information

NPI: 1487532248
Provider Name (Legal Business Name): PRIYANKA SHARMA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5021 NW 34TH BLVD STE A
GAINESVILLE FL
32605-1191
US

IV. Provider business mailing address

4781 SW 36TH RD APT 322
GAINESVILLE FL
32608-1105
US

V. Phone/Fax

Practice location:
  • Phone: 352-371-7766
  • Fax:
Mailing address:
  • Phone: 805-900-0765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN30942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: