Individual
DR. SHYAM S SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18660 BAGLEY RD STE 405B, MIDDLEBURG HEIGHTS, OH 44130-8492
(440) 297-4365
(440) 297-4054
Mailing address
18660 BAGLEY RD STE 405B, MIDDLEBURG HEIGHTS, OH 44130-8492
(440) 297-4365
(440) 298-4054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20119
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208966
—
OH
01
—
341958892026
CARESOURCE
OH
Enumeration date
10/23/2006
Last updated
12/28/2022
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