Provider Demographics
NPI:1912213224
Name:ZAKHEIM, SARA CARMEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:CARMEL
Last Name:ZAKHEIM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:ZAKHEIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SARA ZAKHEIM
Mailing Address - Street 1:71 GLENWOOD DR E
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-3341
Mailing Address - Country:US
Mailing Address - Phone:201-724-5673
Mailing Address - Fax:
Practice Address - Street 1:26 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2856
Practice Address - Country:US
Practice Address - Phone:845-352-7636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050980-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist