MEDICARE: DR. NEIMAR SARTORI DDS, MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0700X	Prosthodontics	40056	TX

General Provider Information

NPI Number	:	1861802431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEIMAR SARTORI DDS, MD, PHD

Provider Business Mailing Address
First Line	:	4209 SPRING STUEBNER RD APT 26105
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-5386
Country	:	US
Telephone Number	:	424-278-3041
Fax Number	:

Provider Business Practice Location Address
First Line	:	6315 CYPRESSWOOD DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-8208
Country	:	US
Telephone Number	:	832-737-8656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2014
Last Update Date	:	10/03/2023

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