Provider Demographics
NPI:1528383007
Name:MADISON, SHARON B (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:B
Last Name:MADISON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 19TH ST.,N.W.
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WASHINTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6613
Mailing Address - Country:US
Mailing Address - Phone:202-332-3600
Mailing Address - Fax:202-332-3601
Practice Address - Street 1:1140 19TH ST NW
Practice Address - Street 2:SUITE 450
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6601
Practice Address - Country:US
Practice Address - Phone:202-332-3600
Practice Address - Fax:202-332-3601
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN5639122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist