Healthcare Provider Details

I. General information

NPI: 1154243285
Provider Name (Legal Business Name): SHARON STHA DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 TROPHY LAKE DR UNIT 120
TROPHY CLUB TX
76262-5237
US

IV. Provider business mailing address

933 ARKAN LN
FORT WORTH TX
76120-2507
US

V. Phone/Fax

Practice location:
  • Phone: 214-463-4736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHARON SHRESTHA
Title or Position: DENTIST
Credential:
Phone: 214-463-4736