Healthcare Provider Details

I. General information

NPI: 1831267491
Provider Name (Legal Business Name): STEVEN JUDD SADOWSKY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 10/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 WEBSTER ST 400 M
SAN FRANCISCO CA
94115-2333
US

IV. Provider business mailing address

2155 WEBSTER ST 400 M
SAN FRANCISCO CA
94115-2333
US

V. Phone/Fax

Practice location:
  • Phone: 415-929-6645
  • Fax:
Mailing address:
  • Phone: 415-929-6645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDE000007348
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberD22410
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: