Provider Demographics
NPI:1821447939
Name:SHARLENE DARCY AMACHER,D.D.S.
Entity Type:Organization
Organization Name:SHARLENE DARCY AMACHER,D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARLENE
Authorized Official - Middle Name:DARCY
Authorized Official - Last Name:AMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-394-3300
Mailing Address - Street 1:105 AKERS FARM RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-4864
Mailing Address - Country:US
Mailing Address - Phone:540-394-3300
Mailing Address - Fax:540-394-3303
Practice Address - Street 1:105 AKERS FARM RD
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-4864
Practice Address - Country:US
Practice Address - Phone:540-394-3300
Practice Address - Fax:540-394-3303
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHARLENE DARCY AMACHER, D.D.S.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014105651223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9178404Medicaid