Provider Demographics
NPI:1558522912
Name:SABARI, SHALEV (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHALEV
Middle Name:
Last Name:SABARI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 E MAIN ST STE 108
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1445
Mailing Address - Country:US
Mailing Address - Phone:508-366-7976
Mailing Address - Fax:
Practice Address - Street 1:57 E MAIN ST STE 108
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1445
Practice Address - Country:US
Practice Address - Phone:508-366-7976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221881223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics