Provider Demographics
NPI:1679052708
Name:ZACHARIAH, SHARON (DMD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:ZACHARIAH
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2681 N FLAMINGO RD APT 1807S
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1738
Mailing Address - Country:US
Mailing Address - Phone:954-591-8738
Mailing Address - Fax:
Practice Address - Street 1:1201 NE 26TH ST STE 107
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-1206
Practice Address - Country:US
Practice Address - Phone:954-870-6970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN22799122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist