Provider Demographics
NPI:1255468815
Name:GIAMBRONE, SHARON M (DDS)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:M
Last Name:GIAMBRONE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 ATHANIA PKWY
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5906
Mailing Address - Country:US
Mailing Address - Phone:504-833-6562
Mailing Address - Fax:504-833-6630
Practice Address - Street 1:2824 ATHANIA PKWY
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5906
Practice Address - Country:US
Practice Address - Phone:504-833-6562
Practice Address - Fax:504-833-6630
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA44811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice