Provider Demographics
NPI:1710969431
Name:GREENBERG, SANFORD H (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANFORD
Middle Name:H
Last Name:GREENBERG
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 1:205A ELM ST
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3820
Mailing Address - Country:US
Mailing Address - Phone:978-388-6308
Mailing Address - Fax:978-388-1103
Practice Address - Street 1:205A ELM ST
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-3820
Practice Address - Country:US
Practice Address - Phone:978-388-6308
Practice Address - Fax:978-388-1103
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA142721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice