Healthcare Provider Details

I. General information

NPI: 1366532475
Provider Name (Legal Business Name): SPIRO S. SAATI D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 LOWELL ST
PEABODY MA
01960-4000
US

IV. Provider business mailing address

355 LOWELL ST
PEABODY MA
01960-4000
US

V. Phone/Fax

Practice location:
  • Phone: 978-531-2185
  • Fax: 978-538-9569
Mailing address:
  • Phone: 978-531-2185
  • Fax: 978-538-9569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14529
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: