Individual provider Active NPI

Emily Marie Sabbagh, M.D., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Auburn, WA
National Provider Identifier
1154400596
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
07056 Issued in WA
Practice address
309 2ND St SE Ste 100
Auburn, WA 98002-5543
Phone
(253) 833-9066
NPI assigned
Nov 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 07056 WA Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X MD00031910 WA

Addresses

Primary practice location

309 2ND St SE Ste 100
Auburn, WA 98002-5543

Mailing address

309 2ND St SE Ste 100
Auburn, WA 98002-5543
Phone (253) 833-9066

Other identifiers 9

IdentifierTypeStateIssuer
07056OtherWADENTAL LIC
1088830OtherWADSHS NUMBER MEDICAL
182105OtherWAUNITED CONCORDIA NUMBER
MD00031910OtherWAMEDICAL LIC
SA6562OtherWAREGENCE NUMBER AUBURN OFF
57215AOtherWAREGENCE FEDERAL WAY
5016282OtherWADSHS NUMBER DENTAL
08025OtherWAWDS NUMBER
192192-1OtherNYNEW YORK LIC

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
07056WAMDOral and Maxillofacial Surgery (Dentist)
MD00031910WAMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154400596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 2ND ST SE STE 100",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025543",
            "telephone_number": "253-833-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 2ND ST SE STE 100",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025543",
            "telephone_number": "253-833-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBAGH",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "07056",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "MD00031910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LIC",
            "identifier": "07056",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS NUMBER MEDICAL",
            "identifier": "1088830",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA NUMBER",
            "identifier": "182105",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "MD00031910",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE NUMBER AUBURN OFF",
            "identifier": "SA6562",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE FEDERAL WAY",
            "identifier": "57215A",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS NUMBER DENTAL",
            "identifier": "5016282",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDS NUMBER",
            "identifier": "08025",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK LIC",
            "identifier": "192192-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.