Provider Demographics
NPI:1235562596
Name:SABRINA HABIB HEPPE DDS, PS
Entity Type:Organization
Organization Name:SABRINA HABIB HEPPE DDS, PS
Other - Org Name:LASTING IMPRESSIONS DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:HABIB
Authorized Official - Last Name:HEPPE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-228-4815
Mailing Address - Street 1:600 UNIVERSITY ST STE 828
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-4117
Mailing Address - Country:US
Mailing Address - Phone:206-228-4815
Mailing Address - Fax:
Practice Address - Street 1:600 UNIVERSITY ST STE 828
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-4117
Practice Address - Country:US
Practice Address - Phone:206-682-3093
Practice Address - Fax:206-381-5395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000110551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty