Healthcare Provider Details

I. General information

NPI: 1043770704
Provider Name (Legal Business Name): SARAH H ABU ARQUB BDS, MSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. SARAH ABU ARQUB

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-1256
US

IV. Provider business mailing address

1600 SW ARCHER RD
GAINESVILLE FL
32610-1256
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-5700
  • Fax:
Mailing address:
  • Phone: 352-273-5850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number0401418739
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDNF000470
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN29997
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: