MEDICARE: PRIYA SHARMA CHAND BDS MSD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1033072319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIYA SHARMA CHAND BDS MSD LLC

Provider Business Mailing Address
First Line	:	3454 ELLICOTT CENTER DR STE 102
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4130
Country	:	US
Telephone Number	:	410-988-6502
Fax Number	:	410-988-6504

Provider Business Practice Location Address
First Line	:	3454 ELLICOTT CENTER DR STE 102
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4130
Country	:	US
Telephone Number	:	410-988-6502
Fax Number	:	410-988-6504

Authorized Official
Title or Position	:	ENDODONTIST
Name	:	DR. PRIYA SHARMA CHAND
Credential	:	BDS MSD
Telephone Number	:	410-988-6502

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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