Provider Demographics
NPI:1780846774
Name:SAARI, NICHOLAS MARK (DDS)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:MARK
Last Name:SAARI
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 1:1271 GIBBS AVE
Mailing Address - Street 2:
Mailing Address - City:FALCON HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55108-1159
Mailing Address - Country:US
Mailing Address - Phone:320-358-4733
Mailing Address - Fax:
Practice Address - Street 1:1271 GIBBS AVE
Practice Address - Street 2:
Practice Address - City:FALCON HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55108-1159
Practice Address - Country:US
Practice Address - Phone:320-358-4733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12518122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist