Provider Demographics
NPI:1659635712
Name:VARMA, NATASHA (DMD)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:VARMA
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 1:7569 STONE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4486
Mailing Address - Country:US
Mailing Address - Phone:205-306-0105
Mailing Address - Fax:
Practice Address - Street 1:9807 MCSARA CT
Practice Address - Street 2:
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-5461
Practice Address - Country:US
Practice Address - Phone:251-626-9924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL59421223P0221X
GADNO149411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry