Provider Demographics
NPI:1770591067
Name:SAARI, PAUL STANFORD (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:STANFORD
Last Name:SAARI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 PINNACLE DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-3058
Mailing Address - Country:US
Mailing Address - Phone:863-646-2475
Mailing Address - Fax:
Practice Address - Street 1:5050 S LAKELAND DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2557
Practice Address - Country:US
Practice Address - Phone:863-644-7513
Practice Address - Fax:863-646-7963
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN82561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice