Healthcare Provider Details

I. General information

NPI: 1871414334
Provider Name (Legal Business Name): SHIRSHA MAJUMDAR DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 SOUTH HIGHWAY 127
HICKORY NC
28602
US

IV. Provider business mailing address

124 E KINGSTON AVE APT 2005
CHARLOTTE NC
28203-3611
US

V. Phone/Fax

Practice location:
  • Phone: 828-294-1448
  • Fax:
Mailing address:
  • Phone: 314-368-7564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14839
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: