Sanjeev Sharma P.S. Dba Premier Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE 8301 Issued in WA

Legal business name

SANJEEV SHARMA P.S. DBA PREMIER DENTAL

Practice address

19221 SE 34TH St Ste 106
Camas, WA 98607-8832

Phone

(360) 882-9595

Fax

(360) 882-3322

NPI assigned

Jul 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sanjeev K Sharma, BDS,MDS,MS

Title

President

Phone

(360) 882-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sanjeev Sharma PS Dba Premier Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Premiere Dental

  • General Practice Dentistry
  • Camas, WA
  • NPI 1902021777
  NPD tax ID
• Right Price Dental

  • Dentist
  • Vancouver, WA
  • NPI 1477861508
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn Phuong Nghiem, RDH

  • Dental Hygienist
  • Vancouver, WA
  • NPI 1316191331
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215820800000",
    "number": "1760646368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 SE 34TH ST STE 106",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078832",
            "telephone_number": "360-882-9595",
            "fax_number": "360-882-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 SE 34TH ST STE 106",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078832",
            "telephone_number": "360-882-9595",
            "fax_number": "360-882-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJEEV SHARMA P.S. DBA PREMIER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-12",
        "last_updated": "2008-07-12",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-882-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS,MDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 8301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5043377",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Kittridge Rothkopf, RN
• Safeway Inc
• Sakura Life Therapy, PLLC
• Alison Kathleen Sanchez, PHARMD.
• Willie Guy Sandry, PT
• Sarah McClaran, Licensed Marriage and Family Therpist, Inc.
• Angela Gene Scharrelman, LMP
• Glen Scheel
• Ben Schmaltz, LMT
• Cassandra Schnelle

• General Practice Dentistry in Camas, WA
• Providers in Camas, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.