Sara Desantis DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SARA DESANTIS DDS PC

Practice address

194 Middle Rd
Sayville, NY 11782

Phone

(631) 703-3484

Fax

(631) 703-3486

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sara Desantis, DDS

Title

Owner / Dentist

Phone

(631) 375-4808

Specialties & licenses 1

Addresses

Tax ID family

Sara Desantis DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sara Desantis DDS PC

  • Periodontics
  • Sayville, NY
  • NPI 1497348791
  NPD tax ID

Locations

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1174115216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 MIDDLE RD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "11782",
            "telephone_number": "631-375-4808",
            "fax_number": "631-703-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 MIDDLE RD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "11782",
            "telephone_number": "631-703-3484",
            "fax_number": "631-703-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA DESANTIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "631-375-4808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Therese Russo-Sanchez
• Amanda B Russo, D.C.
• Kristen M Russo, TVI
• Jacqueline Anna Rutt, OTR/L
• Karen Salzberg, MS,RD,CDN
• Sara Desantis DDS PC
• Anna Satalino, PH.D.
• Amanda Kathryn Saville, OTR/L
• Sayville Acupuncture PC
• Sayville Chiropractic PC

• Dentist in Sayville, NY
• Providers in Sayville, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.