Provider Demographics
NPI:1730627431
Name:ROBERT SHAROBIEM DDS INC
Entity type:Organization
Organization Name:ROBERT SHAROBIEM DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAROBIEM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-237-7245
Mailing Address - Street 1:1710 SHERWOOD CT
Mailing Address - Street 2:APT D
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-3479
Mailing Address - Country:US
Mailing Address - Phone:951-237-7245
Mailing Address - Fax:
Practice Address - Street 1:1710 SHERWOOD CT
Practice Address - Street 2:APT D
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-3479
Practice Address - Country:US
Practice Address - Phone:951-237-7245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0401341223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty