Provider Demographics
NPI:1447563143
Name:DAILEY, SABRINA HARPER (DDS)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:HARPER
Last Name:DAILEY
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 1:114 QUIET GROVE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-6974
Mailing Address - Country:US
Mailing Address - Phone:706-201-5205
Mailing Address - Fax:
Practice Address - Street 1:2941 TWO NOTCH RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-1400
Practice Address - Country:US
Practice Address - Phone:803-251-2260
Practice Address - Fax:803-667-9454
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TNDS0000009206122300000X
SC8214122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program