Provider Demographics
NPI:1134471212
Name:SABATINI DENTAL SPA
Entity Type:Organization
Organization Name:SABATINI DENTAL SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMINC
Authorized Official - Middle Name:
Authorized Official - Last Name:SABATINI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-942-4445
Mailing Address - Street 1:4249 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2565
Mailing Address - Country:US
Mailing Address - Phone:724-942-4445
Mailing Address - Fax:
Practice Address - Street 1:4249 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2565
Practice Address - Country:US
Practice Address - Phone:724-942-4445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031498L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty