Sally Gabbour Mehanna, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D009852 Issued in AZ

Practice address

2329 W Skinner Dr
Phoenix, AZ 85085-2769

Phone

(609) 373-7418

NPI assigned

Jul 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Eastern Dental of Vineland, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vineland, NJ
  • NPI 1033236625
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770968448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 W SKINNER DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852769",
            "telephone_number": "609-373-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 W SKINNER DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852769",
            "telephone_number": "609-373-7418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 E Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083605001",
            "country_code": "US",
            "telephone_number": "856-692-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHANNA",
        "first_name": "SALLY",
        "middle_name": "GABBOUR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02611100",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Richard Meeth, DDS
• Gene Robert Meger, M.D.
• Allison Patrice Megill
• Ezra Megran, LCSW
• Andrew William Meguin, D.C.
• Mehareen LLP
• Mehari Transportation
• Mahshid Mehdipour, D.M.D
• Yevgenia Meher
• Mirnes Mehic

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.