Healthcare Provider Details

I. General information

NPI: 1538030366
Provider Name (Legal Business Name): SABET-SCHULTZ DENTAL GROUP SANTA MONICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1244 7TH ST STE 101
SANTA MONICA CA
90401-1648
US

IV. Provider business mailing address

1244 7TH ST STE 101
SANTA MONICA CA
90401-1648
US

V. Phone/Fax

Practice location:
  • Phone: 310-939-0743
  • Fax: 310-394-5120
Mailing address:
  • Phone: 310-939-0743
  • Fax: 310-394-5120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH SABET
Title or Position: OWNER
Credential: DDS
Phone: 310-393-0743