Provider Demographics
NPI:1972666873
Name:BITAR, SAWSAN (DMD)
Entity Type:Individual
Prefix:
First Name:SAWSAN
Middle Name:
Last Name:BITAR
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 1:770 SACO LOWELL RD
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-3880
Mailing Address - Country:US
Mailing Address - Phone:864-850-9045
Mailing Address - Fax:864-850-0174
Practice Address - Street 1:770 SACO LOWELL RD
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3880
Practice Address - Country:US
Practice Address - Phone:864-850-9045
Practice Address - Fax:864-850-0174
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3478122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist