Provider Demographics
NPI:1811885197
Name:HADAR, SARAH MARIAM (DMD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIAM
Last Name:HADAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WINSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-2140
Mailing Address - Country:US
Mailing Address - Phone:781-534-0291
Mailing Address - Fax:
Practice Address - Street 1:323 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-2842
Practice Address - Country:US
Practice Address - Phone:310-392-4103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111406122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist