MEDICARE: SHARON J. COBHAM DDS PA II

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	6970	NC

General Provider Information

NPI Number	:	1881999498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON J. COBHAM DDS PA II

Provider Business Mailing Address
First Line	:	3608 UNIVERSITY DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-6260
Country	:	US
Telephone Number	:	919-688-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3608 UNIVERSITY DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-6260
Country	:	US
Telephone Number	:	919-688-4100
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. SHARON JOVANNA COBHAM
Credential	:	DDS
Telephone Number	:	919-688-4100

Provider Enumeration Date	:	01/13/2011
Last Update Date	:	01/13/2011

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