Provider Demographics
NPI:1992186266
Name:SAPIR, MINDA ROSE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MINDA
Middle Name:ROSE
Last Name:SAPIR
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 1:48 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-1420
Mailing Address - Country:US
Mailing Address - Phone:516-306-4738
Mailing Address - Fax:
Practice Address - Street 1:65 HOLBROOK ST STE 210
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:MA
Practice Address - Zip Code:02056-1850
Practice Address - Country:US
Practice Address - Phone:508-850-6992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-12
Last Update Date:2018-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN032681223G0001X
MADN18568861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice