Provider Demographics
NPI:1033301890
Name:SABNANI, ROMEY JACK (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROMEY
Middle Name:JACK
Last Name:SABNANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:482 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2406
Mailing Address - Country:US
Mailing Address - Phone:516-837-9283
Mailing Address - Fax:516-837-9288
Practice Address - Street 1:482 MERRICK RD
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2406
Practice Address - Country:US
Practice Address - Phone:516-837-9283
Practice Address - Fax:516-837-9288
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216001223X0400X
RI029691223X0400X
NY054291-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics