Sura Dabbagh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24072 Issued in FL

Practice address

5348 County Road 581
Wesley Chapel, FL 33544-8612

Phone

(813) 973-1837

NPI assigned

May 27, 2019

Last updated

May 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayshore Family Dental PA

  • General Practice Dentistry
  • Dunedin, FL
  • NPI 1609576693
  NPD Authorized official
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)
• Coast Florida P.a.

  dba Coast Dental-Wesley Chapel

  • Dentist
  • Wesley Chapel, FL
  • NPI 1750957130
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1003473927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 HUNTERS RUN DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484396320",
            "telephone_number": "603-892-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 COUNTY ROAD 581",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448612",
            "telephone_number": "813-973-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBAGH",
        "first_name": "SURA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marie Cushman, LMHC
• Cypress Creek Chiropractic and Wellness, PL
• Cypress Creek Pharmacy LLC (Cypress Creek Pharmacy)
• Sandy Czarnecki
• Sophie D'Antonio
• Mandy Dagold
• Souzana Dahdal, APRN
• Marah Dahman, DDS
• Nicole Jeniefer Daley
• Tahnu Orlando Daley

• General Practice Dentistry in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.