Provider Demographics
NPI:1700040235
Name:SABERBEIN, BETHLYNN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:BETHLYNN
Middle Name:A
Last Name:SABERBEIN
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 1:6426 N SPAULDING AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3817
Mailing Address - Country:US
Mailing Address - Phone:847-877-0435
Mailing Address - Fax:
Practice Address - Street 1:233 W JOE ORR RD
Practice Address - Street 2:
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-1744
Practice Address - Country:US
Practice Address - Phone:708-754-1044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.027713122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019.027713OtherSTATE OF IL DENTAL LICENSE