Padmanabhan, Anisha Sharma
Padmanabhan, Anisha Sharma is an individual health care provider with primary practice located at 1026 E Wheatland Rd , Duncanville TX 75116-4914. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is her primary health care specialty. Padmanabhan, Anisha Sharma can be contacted via phone (972) 296-1835.Contact Information
Primary practice address
1026 E Wheatland Rd
Duncanville TX 75116-4914
Phone: (972) 296-1835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 055131 | New York |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN1855840 | Massachusetts |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | 28713 | Texas |
Profile Details
| NPI number | 1679728208 |
|---|---|
| LBN Legal business name | Padmanabhan, Anisha Sharma |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2008 |
| Last updated | Mar 17th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679728208 | NPPES |
| Massachusetts | MEDICAID | 110091265A | |
| Massachusetts | MEDICAID | 110076306A | |
| Massachusetts | MEDICAID | 330454501 |
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