Provider Demographics
NPI:1396012217
Name:SHARI C KOHN, DDS,PA
Entity Type:Organization
Organization Name:SHARI C KOHN, DDS,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR.
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARTHOLOMEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:416-771-8200
Mailing Address - Street 1:100 SPARKS VALLEY RD STE C
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9330
Mailing Address - Country:US
Mailing Address - Phone:410-771-8200
Mailing Address - Fax:410-771-8201
Practice Address - Street 1:100 SPARKS VALLEY RD STE C
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:MD
Practice Address - Zip Code:21152-9330
Practice Address - Country:US
Practice Address - Phone:410-771-8200
Practice Address - Fax:410-771-8201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD105221223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty