Provider Demographics
NPI:1043745862
Name:DAVID G SABOTT
Entity Type:Organization
Organization Name:DAVID G SABOTT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:SABOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-682-0153
Mailing Address - Street 1:503 S 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-3102
Mailing Address - Country:US
Mailing Address - Phone:720-682-0153
Mailing Address - Fax:720-685-3453
Practice Address - Street 1:503 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-3102
Practice Address - Country:US
Practice Address - Phone:720-682-0153
Practice Address - Fax:720-685-3453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-30
Last Update Date:2017-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO005151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty