Healthcare Provider Details

I. General information

NPI: 1700023082
Provider Name (Legal Business Name): SARU SAINI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4373 JIMMY LEE SMITH PKWY STE 105
HIRAM GA
30141-2642
US

IV. Provider business mailing address

4373 JIMMY LEE SMITH PKWY STE 105
HIRAM GA
30141-2642
US

V. Phone/Fax

Practice location:
  • Phone: 201-704-1688
  • Fax:
Mailing address:
  • Phone: 201-704-1688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN014836
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: