Bingham-Shultz, Sharon

Bingham-Shultz, Sharon is an individual health care provider with primary practice located at 5886 Wendy Bagwell Pkwy Ste 201 , Hiram GA 30141-7811. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bingham-Shultz, Sharon can be contacted via phone (678) 384-1787.

Contact Information

Primary practice address
5886 Wendy Bagwell Pkwy Ste 201 Hiram GA 30141-7811
Phone: (678) 384-1787
Fax: (678) 384-1459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012004 Georgia

Profile Details

NPI number 1164497764
LBN Legal business name Bingham-Shultz, Sharon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 14th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164497764 NPPES
Georgia MEDICAID 100293
Georgia MEDICAID 000932599D

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