Elliot Sabbagh DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

045380 Issued in NY

Legal business name

ELLIOT SABBAGH DDS PC

Doing business as

Family Dental Center

Practice address

37 49 82 St
2ND FL
Jackson Heights, NY 11372-2709

Phone

(718) 779-5178

Fax

(718) 779-8840

NPI assigned

Dec 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elliot Sabbagh, DDSNPI 1255314639

Title

Owner President

Phone

(646) 327-5001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Dental Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elliot Sabbagh, DDS

  • Dentist
  • Jackson Heights, NY
  • NPI 1255314639
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639247976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 HOMECREST AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292709",
            "telephone_number": "646-321-5001",
            "fax_number": "718-336-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 49 82 ST",
            "address_2": "2ND FL",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722709",
            "telephone_number": "718-779-5178",
            "fax_number": "718-779-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT SABBAGH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "646-327-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02210075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.