Provider Demographics
NPI:1659499432
Name:WASHINGTON, SHARHONDA KAZAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHARHONDA
Middle Name:KAZAN
Last Name:WASHINGTON
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 1:11601 SHADOW CREEK PKWY STE 111-303
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7283
Mailing Address - Country:US
Mailing Address - Phone:281-624-6269
Mailing Address - Fax:281-504-7090
Practice Address - Street 1:8323 SOUTHWEST FWY STE 610
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1609
Practice Address - Country:US
Practice Address - Phone:281-624-6269
Practice Address - Fax:281-504-7090
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157351112Medicaid