Provider Demographics
NPI:1760769541
Name:ESSNER, SHARON A (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:A
Last Name:ESSNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:380 N BROADWAY STE L1
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2109
Mailing Address - Country:US
Mailing Address - Phone:516-433-1422
Mailing Address - Fax:516-433-7007
Practice Address - Street 1:380 N BROADWAY STE L1
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2109
Practice Address - Country:US
Practice Address - Phone:516-433-1422
Practice Address - Fax:516-433-7007
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0414051223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry