MEDICARE: DR. SHARY ASK DMD, FAGD

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	122300000X	Dentist	DN18550	FL

General Provider Information

NPI Number	:	1871716290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARY ASK DMD, FAGD

Provider Business Mailing Address
First Line	:	2699 STIRLING RD SUITE 203C
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33312-6580
Country	:	US
Telephone Number	:	954-374-9993
Fax Number	:

Provider Business Practice Location Address
First Line	:	2699 STIRLING RD SUITE 203C
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33312-6580
Country	:	US
Telephone Number	:	954-374-9993
Fax Number	:

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

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	08/17/2020

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