Provider Demographics
NPI:1356408967
Name:SABAT, MICHAEL R (DDS MS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:SABAT
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:R
Other - Last Name:SABAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS MS INC
Mailing Address - Street 1:6789 RIDGE RD
Mailing Address - Street 2:308
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129
Mailing Address - Country:US
Mailing Address - Phone:440-845-3360
Mailing Address - Fax:440-845-4107
Practice Address - Street 1:6789 RIDGE RD
Practice Address - Street 2:308
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129
Practice Address - Country:US
Practice Address - Phone:440-845-3360
Practice Address - Fax:440-845-4107
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30129551223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics