Provider Demographics
NPI:1326384041
Name:CHOPRA, SHARMILA
Entity Type:Individual
Prefix:
First Name:SHARMILA
Middle Name:
Last Name:CHOPRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 SUMMERHILL DR
Mailing Address - Street 2:PLEASE ENTER YOUR ADDRESS.
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1170
Mailing Address - Country:US
Mailing Address - Phone:817-793-3844
Mailing Address - Fax:
Practice Address - Street 1:561 ROUTE 1 S
Practice Address - Street 2:PLEASE ENTER YOUR ADDRESS.
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-4400
Practice Address - Country:US
Practice Address - Phone:723-248-3368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-27
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039378122300000X
NJDI02527500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist