Provider Demographics
NPI:1356917942
Name:SABITONI, ALEXANDER TODD
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:TODD
Last Name:SABITONI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-3930
Mailing Address - Country:US
Mailing Address - Phone:401-529-2251
Mailing Address - Fax:
Practice Address - Street 1:1127 PARK AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-3145
Practice Address - Country:US
Practice Address - Phone:401-944-3640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN03551122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist