Provider Demographics
NPI:1043095284
Name:SCHARF, MOMO CHRISTIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MOMO
Middle Name:CHRISTIE
Last Name:SCHARF
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7951 W BEARDSLEY RD UNIT 2216
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-2717
Mailing Address - Country:US
Mailing Address - Phone:509-847-3965
Mailing Address - Fax:
Practice Address - Street 1:25155 N 67TH AVE STE 142
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85083-1065
Practice Address - Country:US
Practice Address - Phone:162-356-1676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0119461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice