Provider Demographics
NPI:1891101622
Name:NAJAMUDDIN, SABA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SABA
Middle Name:
Last Name:NAJAMUDDIN
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 1:10895 PARK PL
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-8630
Mailing Address - Country:US
Mailing Address - Phone:219-365-7773
Mailing Address - Fax:
Practice Address - Street 1:10895 PARK PL
Practice Address - Street 2:
Practice Address - City:SAINT JOHN
Practice Address - State:IN
Practice Address - Zip Code:46373-8630
Practice Address - Country:US
Practice Address - Phone:219-365-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012147A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist