Provider Demographics
NPI:1679875207
Name:SHARMA, ROHIT (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROHIT
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2846 S UNIVERSITY DR
Mailing Address - Street 2:#4207
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1449
Mailing Address - Country:US
Mailing Address - Phone:954-495-8681
Mailing Address - Fax:954-437-7466
Practice Address - Street 1:1601 N FLAMINGO RD
Practice Address - Street 2:SUITE #3
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1024
Practice Address - Country:US
Practice Address - Phone:954-437-7077
Practice Address - Fax:954-437-7466
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18494122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist