Sabra Serrin Fawcett, D.D.S.
Individual provider Active NPI General Practice Dentistry · Fall City, WA
NPI 1043359995 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043359995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DE00005416 (WA)
- Practice address
- 33609 Redmond-Fall City Rd
Fall City, WA 98024 - Phone
- (425) 222-7011
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00005416 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fall City Dental Clinic Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00005416 | WA | Yes |
Addresses
Primary practice location
33609 Redmond-Fall City Rd
Fall City, WA 98024
Mailing address
PO Box 1029
Fall City, WA 98024
Phone (425) 222-7011
Other providers in Fall City, WA
- Drew Senior Services
- Eastside Mobility, LLC
- McKayla Fahlenkamp
- Fall City Dental Clinic Inc
- Gregory Manning Fawcett
- Merritt Elizabeth Glennon
- Eugene Wilbert Goertzen
- Rockwell Hammond Jr.
- Heavensfield Group, LLC
- Courtney Hunter
All providers in Fall City, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.