Sharon Maredia, D.D.S.

Individual provider Active NPI General Practice Dentistry · Brookshire, TX

NPI 1205285756 · NPPES record last updated Apr 13, 2023

Key facts

NPI
1205285756
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
33963 (TX)
Practice address
30543 Kingsland Blvd Ste 140
Brookshire, TX 77423-2844
Phone
(281) 377-6666
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
33963TXMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33963 TX Yes

Addresses

Primary practice location

30543 Kingsland Blvd Ste 140
Brookshire, TX 77423-2844

Mailing address

30543 Kingsland Blvd Ste 140
Brookshire, TX 77423-2844
Phone (281) 377-6666

Other providers in Brookshire, TX

All providers in Brookshire, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.