Provider Demographics
NPI:1225451800
Name:SHARMA ACCESS DENTAL PS
Entity Type:Organization
Organization Name:SHARMA ACCESS DENTAL PS
Other - Org Name:ACCESS DENTAL OF SALMON CREEK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SANJEEV
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:BDS, MDS, MS
Authorized Official - Phone:360-921-6856
Mailing Address - Street 1:1412 NE 134TH ST STE 140
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2720
Mailing Address - Country:US
Mailing Address - Phone:360-574-4848
Mailing Address - Fax:360-573-6272
Practice Address - Street 1:1412 NE 134TH ST STE 140
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2720
Practice Address - Country:US
Practice Address - Phone:360-574-4848
Practice Address - Fax:360-573-6272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-01
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental