Provider Demographics
NPI:1083817266
Name:SAPIAN, SCHUBERT LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCHUBERT
Middle Name:LYNN
Last Name:SAPIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 BRADY LANE
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052
Mailing Address - Country:US
Mailing Address - Phone:817-919-7034
Mailing Address - Fax:817-423-1583
Practice Address - Street 1:2410 BRADY LN
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-5009
Practice Address - Country:US
Practice Address - Phone:817-919-7034
Practice Address - Fax:817-423-1583
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20045122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist