MEDICARE: SHARON DAMARIS OAIDA DMD

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	1223G0001X	General Practice Dentistry	D011925	AZ

General Provider Information

NPI Number	:	1093401556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON DAMARIS OAIDA DMD

Provider Business Mailing Address
First Line	:	8010 W ALBERT LN
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-4478
Country	:	US
Telephone Number	:	480-440-1903
Fax Number	:

Provider Business Practice Location Address
First Line	:	9784 W YEARLING RD STE B-1500
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-1379
Country	:	US
Telephone Number	:	623-232-8066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2023
Last Update Date	:	02/05/2026

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