Provider Demographics
NPI:1205017381
Name:HUBERT, SARAH DENISE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:DENISE
Last Name:HUBERT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-3000
Mailing Address - Country:US
Mailing Address - Phone:347-689-3066
Mailing Address - Fax:
Practice Address - Street 1:86 N 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-3000
Practice Address - Country:US
Practice Address - Phone:347-689-3066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-17
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053536122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist