Provider Demographics
NPI:1497380091
Name:NATASHA HASSAM-SARWAR, DDS PLLC
Entity Type:Organization
Organization Name:NATASHA HASSAM-SARWAR, DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAM-SARWAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-332-5472
Mailing Address - Street 1:277 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-3201
Mailing Address - Country:US
Mailing Address - Phone:518-332-5472
Mailing Address - Fax:
Practice Address - Street 1:2745 N COLLINS ST STE 101
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7108
Practice Address - Country:US
Practice Address - Phone:817-484-5588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty