Provider Demographics
NPI:1326385675
Name:SARMAST, SOBIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SOBIA
Middle Name:
Last Name:SARMAST
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SOBIA
Other - Middle Name:
Other - Last Name:SARMAST-ALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:15018 CRAPE MYRTLE RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1376
Mailing Address - Country:US
Mailing Address - Phone:630-235-2539
Mailing Address - Fax:
Practice Address - Street 1:7333 COIT RD STE 110
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4905
Practice Address - Country:US
Practice Address - Phone:469-200-0544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019029066122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019029066Medicaid