Provider Demographics
NPI:1689558454
Name:BAZR, SARAH (DDS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BAZR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SAHAR
Other - Middle Name:
Other - Last Name:BAZRAFSHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SAHAR BAZRAFSHAN
Mailing Address - Street 1:1099 GERMANTOWN AVE APT 809G
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-0026
Mailing Address - Country:US
Mailing Address - Phone:703-475-7047
Mailing Address - Fax:
Practice Address - Street 1:1099 GERMANTOWN AVE APT 809G
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-0026
Practice Address - Country:US
Practice Address - Phone:703-475-7047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS045326122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist