NPIMap

Organization Active NPI

Sabah Dental LLC

  • Dentist
  • Odenton, MD
National Provider Identifier
1942432968
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13867 Issued in MD
Legal business name
SABAH DENTAL LLC
Practice address
1554 Annapolis Rd
Odenton, MD 21113-1001
Phone
(410) 674-7360
NPI assigned
Aug 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Marie Wilenne St. Martin, DDSNPI 1366507063
Title
Dentist/Owner
Phone
(410) 674-7360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13867 MD Primary

Addresses

Primary practice location

1554 Annapolis Rd
Odenton, MD 21113-1001

Mailing address

1223 Annapolis Rd
Suite B
Odenton, MD 21113-1328
Phone (410) 674-7360

National Provider Directory

National Provider Directory

Locations

1554 Annapolis Rd
Odenton, MD 21113
Phone (410) 674-7360

1223 Annapolis Rd
Ste B
Odenton, MD 21113
Phone (410) 674-7360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1942432968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 ANNAPOLIS RD",
            "address_2": "SUITE B",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131328",
            "telephone_number": "410-674-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 ANNAPOLIS RD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131001",
            "telephone_number": "410-674-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABAH DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "ST. MARTIN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "WILENNE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "410-674-7360",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "13867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

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