Provider Demographics
NPI:1275831059
Name:AMIT SAPARIA DDS INC.
Entity Type:Organization
Organization Name:AMIT SAPARIA DDS INC.
Other - Org Name:STARBRIGHT DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPARIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-359-2068
Mailing Address - Street 1:814 W CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:EAST CHICAGO
Mailing Address - State:IN
Mailing Address - Zip Code:46312-3307
Mailing Address - Country:US
Mailing Address - Phone:708-359-2068
Mailing Address - Fax:
Practice Address - Street 1:814 W CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-3307
Practice Address - Country:US
Practice Address - Phone:708-359-2068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011381A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty