Healthcare Provider Details

I. General information

NPI: 1164176061
Provider Name (Legal Business Name): AADYA SHARMA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 E WASHINGTON AVE
MADISON WI
53704-4301
US

IV. Provider business mailing address

5022 AMERICAN PKWY APT 390
MADISON WI
53718-6444
US

V. Phone/Fax

Practice location:
  • Phone: 608-244-8050
  • Fax:
Mailing address:
  • Phone: 720-965-5540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number1002754-15
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: