Provider Demographics
NPI:1295429124
Name:GIAMBINI, SEBASTIAN (DMD)
Entity type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:
Last Name:GIAMBINI
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 1:5299 NW 46TH LN RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34482
Mailing Address - Country:US
Mailing Address - Phone:786-712-5001
Mailing Address - Fax:
Practice Address - Street 1:13940 N US HIGHWAY 441 STE 602
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-8953
Practice Address - Country:US
Practice Address - Phone:352-290-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN27937122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist