NPIMap

Organization Active NPI

Premiere Dental

  • General Practice Dentistry
  • Camas, WA
National Provider Identifier
1902021777
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8301 Issued in WA
Legal business name
PREMIERE DENTAL
Practice address
19221 SE 34TH St
Camas, WA 98607-8831
Phone
(360) 688-2959
Fax
(360) 882-3322
NPI assigned
Apr 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sanjeev Sharma, B.D.S, M.D.S., M.S.
Title
Dentist
Phone
(360) 882-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8301 WA Primary

Addresses

Primary practice location

19221 SE 34TH St
Camas, WA 98607-8831

Mailing address

19221 SE 34TH St
Camas, WA 98607-8831
Phone (360) 882-9595

National Provider Directory

National Provider Directory
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.

Locations

19221 SE 34th St
Camas, WA 98607
Phone (360) 688-2959

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902021777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 SE 34TH ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078831",
            "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",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078831",
            "telephone_number": "360-688-2959",
            "fax_number": "360-882-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-882-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S, M.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.