Provider Demographics
NPI:1457731945
Name:SAPIR, SHABTAI (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHABTAI
Middle Name:
Last Name:SAPIR
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 1:65 HOLBROOK ST STE 210
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-1850
Mailing Address - Country:US
Mailing Address - Phone:508-850-6992
Mailing Address - Fax:
Practice Address - Street 1:65 HOLBROOK ST STE 210
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:MA
Practice Address - Zip Code:02056-1850
Practice Address - Country:US
Practice Address - Phone:508-850-6992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18568871223G0001X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral Practice