Provider Demographics
NPI:1184782336
Name:SABATINI, DOMINIC A (DMD)
Entity type:Individual
Prefix:DR
First Name:DOMINIC
Middle Name:A
Last Name:SABATINI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2095 9TH ST N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-4806
Mailing Address - Country:US
Mailing Address - Phone:239-430-1515
Mailing Address - Fax:239-430-1518
Practice Address - Street 1:2095 9TH ST N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-4806
Practice Address - Country:US
Practice Address - Phone:239-430-1515
Practice Address - Fax:239-430-1518
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031498L1223G0001X
FLDN17728122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA291532OtherCIGNA
PA9831498PAOtherDELTA DENTAL
PA11897OtherUNITED CONCORDIA
PAPDP06110890016OtherMETLIFE