Sabrina Reva Baghaie
Individual provider Active NPI General Practice Dentistry · Shelby, NC
NPI 1548846231 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1548846231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12928 (NC)
- Practice address
- 221 Simpson Park Rd
Shelby, NC 28150-4299 - Phone
- (704) 484-3366
- NPI assigned
- Mar 22, 2021
- Reactivated
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12928 | NC | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 12928 | NC | Yes |
Addresses
Primary practice location
221 Simpson Park Rd
Shelby, NC 28150-4299
Mailing address
1800 N Blanchard St
Findlay, OH 45840-4503
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shpd@ncpediatricdentistry.com |
Other providers in Shelby, NC
- Sylvia Austin
- Autum Year Family Care Home
- Kathleen Patricia Ayotte
- B Business Corp
- Stephen William Baer Jr.
- Erin Lutz Bailey
- Kacey Bailey
- Nancy Ann Bailey
- Shenice Bailey
- Swachetan Singh Bajwa
All providers in Shelby, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.