Provider Demographics
NPI:1720208986
Name:WITKOFF, SHARI ALANE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:ALANE
Last Name:WITKOFF
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 1:475 BILTMORE WAY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5755
Mailing Address - Country:US
Mailing Address - Phone:305-444-4842
Mailing Address - Fax:305-445-1519
Practice Address - Street 1:475 BILTMORE WAY
Practice Address - Street 2:SUITE 310
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5755
Practice Address - Country:US
Practice Address - Phone:305-444-4842
Practice Address - Fax:305-445-1519
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL DN 14063122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist