Mohamed H Saber, B.D.S
Individual provider Active NPI Endodontics · Lake Tapps, WA
NPI 1821345935 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1821345935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- DE60305669 (WA)
- Practice address
- 3106 Sumner Tapps Hwy E
Lake Tapps, WA 98391-6716 - Phone
- (253) 891-3100
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DE60305669 | WA | Yes |
Addresses
Primary practice location
3106 Sumner Tapps Hwy E
Lake Tapps, WA 98391-6716
Mailing address
3106 Sumner Tapps Hwy E
Lake Tapps, WA 98391-6716
Phone (253) 891-3100
Other providers in Lake Tapps, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. 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.