Active NPI
Jennifer Victoria Sabol, DDS
- Prosthodontics
- Fort Gordon, GA
National Provider Identifier
1134187735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 049694
- Practice address
- Tingay Dental Clinic
320 West Hospital Road
Fort Gordon, GA 30905 - Phone
- (706) 787-4106
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50049694 | NY | |
| Prosthodontics | 1223P0700X | 049694 | NY | Primary |
Addresses
Primary practice location
Tingay Dental Clinic
320 West Hospital Road
Fort Gordon, GA 30905
Mailing address
320 E Hosptial Rd
Fort Gordon, GA 30905
Phone (706) 787-7209
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 |
|---|---|---|---|
| 50049694 | NY | MD | Dentist |
| 049694 | NY | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1134187735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E HOSPTIAL RD",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TINGAY DENTAL CLINIC",
"address_2": "320 WEST HOSPITAL ROAD",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABOL",
"first_name": "JENNIFER",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2023-03-27",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "50049694",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "049694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.