Provider Demographics
NPI:1598501025
Name:NIBBER, SHARNJOT KAUR (DMD)
Entity type:Individual
Prefix:
First Name:SHARNJOT
Middle Name:KAUR
Last Name:NIBBER
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 1:251 ADMIRAL COCHRANE DR APT 1042
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7587
Mailing Address - Country:US
Mailing Address - Phone:647-309-4781
Mailing Address - Fax:
Practice Address - Street 1:15 LEE AIRPARK DR STE 100
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-1239
Practice Address - Country:US
Practice Address - Phone:443-334-6689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18190122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist