Provider Demographics
NPI:1316191422
Name:EDER, SHARON MICHELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MICHELLE
Last Name:EDER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:2 STELLA LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-1522
Mailing Address - Country:US
Mailing Address - Phone:917-509-9588
Mailing Address - Fax:914-666-5032
Practice Address - Street 1:91 SMITH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2810
Practice Address - Country:US
Practice Address - Phone:914-666-8997
Practice Address - Fax:914-666-5032
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0504541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics