Active NPI
Fred Robert Sacks, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Norristown, PA
National Provider Identifier
1053359901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS018166L
- Practice address
- 2803 Stanbridge St
B-307
Norristown, PA 19401-1610 - Phone
- (610) 278-9505
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS018166L | PA | Primary |
Addresses
Primary practice location
2803 Stanbridge St
B-307
Norristown, PA 19401-1610
Mailing address
2803 Stanbridge St
B-307
Norristown, PA 19401-1610
Phone (610) 278-9505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS018166L | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053359901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 STANBRIDGE ST",
"address_2": "B-307",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194011610",
"telephone_number": "610-278-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 STANBRIDGE ST",
"address_2": "B-307",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194011610",
"telephone_number": "610-278-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKS",
"first_name": "FRED",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS018166L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norristown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.