Provider Demographics
NPI:1568861052
Name:SHARMA, SUMEDHA (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:SUMEDHA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 FM 1488 RD STE 90
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3818
Mailing Address - Country:US
Mailing Address - Phone:412-339-4441
Mailing Address - Fax:
Practice Address - Street 1:3600 FM 1488 RD STE 90
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3818
Practice Address - Country:US
Practice Address - Phone:412-339-4441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX391611223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry