Provider Demographics
NPI:1326164047
Name:SHARMA, JAYSHREE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:JAYSHREE
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:JAYSHREE
Other - Middle Name:
Other - Last Name:SHARMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:7501 DEMOCRACY BLVD
Mailing Address - Street 2:#121
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817
Mailing Address - Country:US
Mailing Address - Phone:301-365-0055
Mailing Address - Fax:301-365-0056
Practice Address - Street 1:7501 DEMOCRACY BLVD
Practice Address - Street 2:#121
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817
Practice Address - Country:US
Practice Address - Phone:301-365-0055
Practice Address - Fax:301-365-0056
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13151122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist