Provider Demographics
NPI:1588733596
Name:PALUGA-STAGGS, SHARON (DDS)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:PALUGA-STAGGS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:PALUGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3435 S OVERLOOK PASS
Mailing Address - Street 2:
Mailing Address - City:NEW PALESTINE
Mailing Address - State:IN
Mailing Address - Zip Code:46163-9484
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4037 S ARBOR LANE
Practice Address - Street 2:
Practice Address - City:NEW PALESTINE
Practice Address - State:IN
Practice Address - Zip Code:46163
Practice Address - Country:US
Practice Address - Phone:317-861-4550
Practice Address - Fax:317-861-4535
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120098801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice