Provider Demographics
NPI:1821039298
Name:FAHMY, SHARON (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:FAHMY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13741 E RICE PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1061
Mailing Address - Country:US
Mailing Address - Phone:303-617-5212
Mailing Address - Fax:303-617-5214
Practice Address - Street 1:13741 E RICE PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1061
Practice Address - Country:US
Practice Address - Phone:303-617-5212
Practice Address - Fax:303-617-5214
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7721122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist