Provider Demographics
NPI:1740966167
Name:EMARA, SINHAREEB (DMD)
Entity type:Individual
Prefix:
First Name:SINHAREEB
Middle Name:
Last Name:EMARA
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 1:489 HIGHWAY 32
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:MO
Mailing Address - Zip Code:65536-5318
Mailing Address - Country:US
Mailing Address - Phone:417-588-2555
Mailing Address - Fax:
Practice Address - Street 1:489 HIGHWAY 32
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:MO
Practice Address - Zip Code:65536-5318
Practice Address - Country:US
Practice Address - Phone:417-588-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20240232181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice