Provider Demographics
NPI:1578006003
Name:TRIPTY SHARMA DDS PC
Entity Type:Organization
Organization Name:TRIPTY SHARMA DDS PC
Other - Org Name:HIGHLANDS DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRIPTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-426-6996
Mailing Address - Street 1:2770 S HIGHLAND AVE
Mailing Address - Street 2:UNIT 103
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5412
Mailing Address - Country:US
Mailing Address - Phone:630-426-6996
Mailing Address - Fax:630-376-6382
Practice Address - Street 1:2770 S HIGHLAND AVE
Practice Address - Street 2:UNIT 103
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5412
Practice Address - Country:US
Practice Address - Phone:630-426-6996
Practice Address - Fax:630-376-6382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty