Active NPI
Sharon G. Efron, RDH, BS
- Dental Hygienist
- South Windsor, CT
National Provider Identifier
1700294683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 3262
- Practice address
- 1050 Sullivan Ave
South Windsor, CT 06074-2000 - Phone
- (860) 644-2476
- NPI assigned
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3262 | CT | Primary |
Addresses
Primary practice location
1050 Sullivan Ave
South Windsor, CT 06074-2000
Mailing address
87 Pheasant Hill Dr
West Hartford, CT 06107-3328
Phone (860) 559-4010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3262 | CT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1700294683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 PHEASANT HILL DR",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061073328",
"telephone_number": "860-559-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 SULLIVAN AVE",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060742000",
"telephone_number": "860-644-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFRON",
"first_name": "SHARON",
"middle_name": "G.",
"credential": "RDH, BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "3262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.