Provider Demographics
NPI:1144692856
Name:AL SHAREA, ENAS (DDS)
Entity type:Individual
Prefix:DR
First Name:ENAS
Middle Name:
Last Name:AL SHAREA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 W OXFORD AVE UNIT G-1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-3112
Mailing Address - Country:US
Mailing Address - Phone:303-315-6150
Mailing Address - Fax:
Practice Address - Street 1:3525 W OXFORD AVE UNIT G-1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236-3112
Practice Address - Country:US
Practice Address - Phone:303-315-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-21
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00204963122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist