Provider Demographics
NPI:1306062294
Name:SHAIKH, ZARINA M (DMD)
Entity type:Individual
Prefix:DR
First Name:ZARINA
Middle Name:M
Last Name:SHAIKH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 BUTTERMILK XING
Mailing Address - Street 2:
Mailing Address - City:CRESCENT SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1622
Mailing Address - Country:US
Mailing Address - Phone:859-344-9222
Mailing Address - Fax:859-344-1490
Practice Address - Street 1:2325 BUTTERMILK XING
Practice Address - Street 2:
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017-1622
Practice Address - Country:US
Practice Address - Phone:859-344-9222
Practice Address - Fax:859-344-1490
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY83821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice