Provider Demographics
NPI: | 1578904660 |
---|---|
Name: | STEVEN S. SABATINO DDS, MS, PLLC |
Entity type: | Organization |
Organization Name: | STEVEN S. SABATINO DDS, MS, PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ORTHODONTIST/OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | STEVEN |
Authorized Official - Middle Name: | S |
Authorized Official - Last Name: | STOWE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DDS, MS |
Authorized Official - Phone: | 602-485-4700 |
Mailing Address - Street 1: | 16620 N 40TH ST |
Mailing Address - Street 2: | SUITE A-1 |
Mailing Address - City: | PHOENIX |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85032-3348 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 602-485-4700 |
Mailing Address - Fax: | 602-485-4720 |
Practice Address - Street 1: | 16620 N 40TH ST |
Practice Address - Street 2: | SUITE A-1 |
Practice Address - City: | PHOENIX |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85032-3348 |
Practice Address - Country: | US |
Practice Address - Phone: | 602-485-4700 |
Practice Address - Fax: | 602-485-4720 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-07-17 |
Last Update Date: | 2013-07-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1223X0400X | Dental Providers | Dentist | Orthodontics and Dentofacial Orthopedics | Group - Single Specialty |