Provider Demographics
NPI:1003973942
Name:ZUBAIRI, SADIA B (DMD)
Entity Type:Individual
Prefix:DR
First Name:SADIA
Middle Name:B
Last Name:ZUBAIRI
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 1:820 N UNIVERSITY AVENUE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-664-1733
Mailing Address - Fax:501-664-1759
Practice Address - Street 1:820 N UNIVERSITY AVENUE
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-664-1733
Practice Address - Fax:501-664-1759
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR35951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR135136631Medicaid