Provider Demographics
NPI:1265656797
Name:STARKMAN, SHARLENE (DMD)
Entity Type:Individual
Prefix:
First Name:SHARLENE
Middle Name:
Last Name:STARKMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SHARLENE
Other - Middle Name:MEI LAN
Other - Last Name:YAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:10709 NW 12TH DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-6977
Mailing Address - Country:US
Mailing Address - Phone:954-423-1433
Mailing Address - Fax:
Practice Address - Street 1:17301 NW 27TH AVE
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33056-4001
Practice Address - Country:US
Practice Address - Phone:305-624-1371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN162321223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry