Sarah Gibbons, D.M.D.
Individual provider Active NPI Dentist · Harwich, MA
NPI 1376913749 · NPPES record last updated Feb 4, 2020
Key facts
- NPI
- 1376913749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN1857050 (MA)
- Practice address
- 527 Long Pond Dr
Harwich, MA 02645-1227 - Phone
- (508) 430-0505
- NPI assigned
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108000132 | MA | Order and Referring Only - Dentist |
2163724188 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857050 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monomoy Dental PLLC | Dentist | Current |
Accepting new patients |
| Richard a. Weiler, Jr., D.D.S. and Associates, P.C. | Past |
Accepting new patients |
Locations
527 Long Pond Dr
Harwich, MA 02645
Phone (508) 430-0505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857050 | MA | Yes |
Addresses
Primary practice location
527 Long Pond Dr
Harwich, MA 02645-1227
Mailing address
527 Long Pond Dr
Harwich, MA 02645-1227
Other providers in Harwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.