Ethan Sadowski, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN24214 Issued in FL

Practice address

8716 Beulah Rd
Pensacola, FL 32526-5326

Phone

(850) 706-5688

NPI assigned

Jun 7, 2019

Last updated

Feb 7, 2023By the provider in NPPES

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

Locations

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

• Beulah Road Dental PLLC

  • Dental Clinic/Center
  • Pensacola, FL
  • NPI 1922704329
  NPD Authorized official
• Beulah Family Dentistry

  • Dental Clinic/Center
  • Pensacola, FL
  • NPI 1821768326
  NPD
• Paul Quinlan DDS PL

  dba Santa Rosa Family Dentistry

  • General Practice Dentistry
  • Gulf Breeze, FL
  • NPI 1457775165
  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1831758549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 BEULAH RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325265326",
            "telephone_number": "850-706-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 BEULAH RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325265326",
            "telephone_number": "850-706-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4311 Gulf Breeze Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325639152",
            "country_code": "US",
            "telephone_number": "850-777-8835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADOWSKI",
        "first_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacred Heart Medical GRP at Destin (SHMG Emerald Coast Specialists)
• Sacred Heart Out Patient Pharmacy
• Sacred Heart Palliative Care
• Alina Sadaf, MD
• Tamela R Sadler, PHD-HSP
• Safe Haven Counseling Services
• Safely Home
• Joann B Safko, MS CCC SLP
• Brent Sager, MD
• Taher Musa Saghir, M.D.

• Dentist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.