Imad Sabbagh, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11529 Issued in GA

Practice address

366 N Main St
Suite 200
Alpharetta, GA 30004-8381

Phone

(770) 475-6136

Fax

(770) 475-5037

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Main Street Dentistry PC

  • Dentist
  • Alpharetta, GA
  • NPI 1457420937
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578645941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 NORTH MAIN STREET",
            "address_2": "SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30004",
            "telephone_number": "770-475-6136",
            "fax_number": "770-475-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048381",
            "telephone_number": "770-475-6136",
            "fax_number": "770-475-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBAGH",
        "first_name": "IMAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Bozof MD PC
• Maureen F Ryan
• Leah Rydel
• John E Ryoul, LPC
• S. Joseph Pausa, DMD PC
• Sahar Sabet
• Rob E Sable, DDS
• Michael Shay Sabom, MD
• Luciana Sacramento Aguiar, MS, LPC, NCC, CRC
• Jennifer Saddanathan, PHARMD

• General Practice Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.