Healthcare Provider Details

I. General information

NPI: 1932024775
Provider Name (Legal Business Name): SARAH JAAFAR DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 DANIEL DR
BRIDGEPORT WV
26330-2048
US

IV. Provider business mailing address

3311 SUN CT
MORGANTOWN WV
26505-1151
US

V. Phone/Fax

Practice location:
  • Phone: 606-454-7474
  • Fax:
Mailing address:
  • Phone: 606-454-7474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4894
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: