Provider Demographics
NPI:1891355079
Name:VON BARGEN, SABRINA ELIZABETH (DDS)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:ELIZABETH
Last Name:VON BARGEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:4830 CHATEAU AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405
Mailing Address - Country:US
Mailing Address - Phone:843-225-8718
Mailing Address - Fax:
Practice Address - Street 1:4830 CHATEAU AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405
Practice Address - Country:US
Practice Address - Phone:843-225-8718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC114161223G0001X
SC94191223G0001X
SC94141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice