Healthcare Provider Details

I. General information

NPI: 1336900695
Provider Name (Legal Business Name): ABANOB M SARKIS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 SEMINARY DR BLDG E
GREENSBURG PA
15601-3734
US

IV. Provider business mailing address

2900 SEMINARY DR BLDG E
GREENSBURG PA
15601-3734
US

V. Phone/Fax

Practice location:
  • Phone: 724-552-2950
  • Fax:
Mailing address:
  • Phone: 724-552-2950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS044233
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS044233
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: