Organization
SHARMA ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI DESH SHARMA DMD (CEO)
(404) 433-1317
Entity
Organization
Contact information
Practice address
3535 ROSWELL RD STE 53, MARIETTA, GA 30062-8828
(404) 433-1317
Mailing address
1400 WESLEY OAKS CT NW, ATLANTA, GA 30327-1864
(404) 433-1317
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215231667
NPEES
GA
01
—
1891873758
NPEES
GA
Enumeration date
10/15/2020
Last updated
10/15/2020
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