Provider Demographics
NPI:1043995772
Name:SABUS, MEGAN JUNE (DDS)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:JUNE
Last Name:SABUS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:JUNE
Other - Last Name:ROTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4043 ASTER CT
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-8981
Mailing Address - Country:US
Mailing Address - Phone:319-721-0534
Mailing Address - Fax:
Practice Address - Street 1:4048 GLASS RD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2509
Practice Address - Country:US
Practice Address - Phone:319-409-6180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-101171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice