1740951151 NPI number — RAMEZ SABA DDS PC

Table of content: (NPI 1740951151)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740951151 NPI number — RAMEZ SABA DDS PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAMEZ SABA DDS PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WALKERSVILLE DENTAL CARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740951151
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/27/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
31 E FREDERICK ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALKERSVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21793-8255
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-898-7898
Provider Business Mailing Address Fax Number:
301-845-0206

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 E FREDERICK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALKERSVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21793-8255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-898-7898
Provider Business Practice Location Address Fax Number:
301-845-0206
Provider Enumeration Date:
09/24/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SABA
Authorized Official First Name:
RAMEZ
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/DENTIST
Authorized Official Telephone Number:
301-898-7898

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)