SG Dental Services LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SG DENTAL SERVICES LLC

Practice address

2412 N Salisbury Blvd Ste a
Salisbury, MD 21801-2399

Phone

(443) 210-3398

NPI assigned

Oct 30, 2024

Last updated

Oct 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Barber

Title

Provider Enrollment Team Lead

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bianka Amin, DDS

  • General Practice Dentistry
  • Salisbury, MD
  • NPI 1821828138
  NPD
• Justin Paul Collins, DDS, MBS

  • Dentist
  • Salisbury, MD
  • NPI 1740935147
  NPD

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1063234946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887",
            "telephone_number": "315-454-6000",
            "fax_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N SALISBURY BLVD STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012399",
            "telephone_number": "443-210-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT TEAM LEAD",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahul R Sequeira, CRNA
• Sequon, LLC (Altruix)
• Chalarra A Sessoms, LCSW-C
• Maryann Rose Sestito, PHARMD, RPH
• Brian F Seymour Jr.
• Usama Bin Shabbir
• Mark Alan Shaffer, LCSW-C
• Shaily Ketanbhai Shah, PT
• Janat Shahbaz, RBT
• Mubasshar Shahid, M.D.

• General Practice Dentistry in Salisbury, MD
• Providers in Salisbury, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.