Healthcare Provider Details

I. General information

NPI: 1558096446
Provider Name (Legal Business Name): DR. ARCHNA SHARMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARCHNA NAGPAL MDS

II. Dates (important events)

Enumeration Date: 07/24/2022
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6351 W RIO GRANDE AVE
KENNEWICK WA
99336-7634
US

IV. Provider business mailing address

PO BOX 190
TOPPENISH WA
98948-0190
US

V. Phone/Fax

Practice location:
  • Phone: 509-579-5830
  • Fax: 509-491-3215
Mailing address:
  • Phone: 509-865-2395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDENT.DE.70028214
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: