Provider Demographics
NPI:1508096652
Name:SHARMA, ARCHANA (DMD)
Entity Type:Individual
Prefix:MRS
First Name:ARCHANA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 WOLF RD
Mailing Address - Street 2:UNIT # 34
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1943
Mailing Address - Country:US
Mailing Address - Phone:603-369-0680
Mailing Address - Fax:
Practice Address - Street 1:31 OLD ETNA RD
Practice Address - Street 2:SUITE# 4
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1933
Practice Address - Country:US
Practice Address - Phone:603-448-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03735122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist