Provider Demographics
NPI:1780281279
Name:ALSAGGABI, SARAH HAMAD (BDS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HAMAD
Last Name:ALSAGGABI
Suffix:
Gender:F
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KNEELAND ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1529
Mailing Address - Country:US
Mailing Address - Phone:617-636-3859
Mailing Address - Fax:
Practice Address - Street 1:55 TRAVELER ST APT 1310
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2973
Practice Address - Country:US
Practice Address - Phone:857-919-1316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program