Provider Demographics
NPI:1467665075
Name:SARETT, LINDA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:SARETT
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 1:342 MADISON AVE
Mailing Address - Street 2:4C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10173-0002
Mailing Address - Country:US
Mailing Address - Phone:212-687-1983
Mailing Address - Fax:212-687-0776
Practice Address - Street 1:342 MADISON AVE
Practice Address - Street 2:4C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10173-0002
Practice Address - Country:US
Practice Address - Phone:212-687-1983
Practice Address - Fax:212-687-0776
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice