Provider Demographics
NPI:1255355889
Name:STEVE SABAGH
Entity type:Organization
Organization Name:STEVE SABAGH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SABAGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-482-2995
Mailing Address - Street 1:10335 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1435
Mailing Address - Country:US
Mailing Address - Phone:480-991-3273
Mailing Address - Fax:480-443-2577
Practice Address - Street 1:10335 N SCOTTSDALE RD
Practice Address - Street 2:SUITE E
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-1435
Practice Address - Country:US
Practice Address - Phone:480-991-3273
Practice Address - Fax:480-443-2577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD63871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty