Provider Demographics
NPI:1003952706
Name:SABER, SHAHNAZ (DDS PA)
Entity Type:Individual
Prefix:DR
First Name:SHAHNAZ
Middle Name:
Last Name:SABER
Suffix:
Gender:F
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WEST ROLLING CROSSROADS
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-6278
Mailing Address - Country:US
Mailing Address - Phone:410-747-0341
Mailing Address - Fax:410-747-2437
Practice Address - Street 1:4 WEST ROLLING CROSSROADS
Practice Address - Street 2:SUITE 5
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-6278
Practice Address - Country:US
Practice Address - Phone:410-747-0341
Practice Address - Fax:410-747-2437
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD121121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice