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1295999381 NPI number — SABRY M SHARARA D.D.S.

NPI Number: 1295999381
Health Care Provider/Practitioner: SABRY M SHARARA D.D.S.

Information about “1295999381” NPI (SABRY M SHARARA D.D.S.) exists in 1295999381 in HTML format HTML  |  1295999381 in plain Text format TXT  |  1295999381 in PDF (Portable Document Format) PDF  |  1295999381 in an XML format XML  formats.

NPI Number : 1295999381 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295999381",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHARARA",
    "FirstName": "SABRY",
    "MiddleName": "M",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2436 MOUNDS VIEW BLVD STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT PAUL",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55112-1482",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "763-432-3399",
    "MailingAddressFaxNumber": "763-432-3541",
    "FirstLinePracticeLocationAddress": "2436 MOUNDS VIEW BLVD STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT PAUL",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55112-1482",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "763-432-3399",
    "PracticeLocationAddressFaxNumber": "763-432-3541",
    "EnumerationDate": "07/17/2008",
    "LastUpdateDate": "07/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "D12183",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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