Provider Demographics
NPI:1598490823
Name:SANBEI, JUSTIN HIDEO (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:HIDEO
Last Name:SANBEI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9154 GLACIERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-9614
Mailing Address - Country:US
Mailing Address - Phone:907-957-6949
Mailing Address - Fax:
Practice Address - Street 1:9309 GLACIER HWY STE A101
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7018
Practice Address - Country:US
Practice Address - Phone:907-789-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1968351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice