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General NPI Number Information
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NPI Number | 1316056120
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Entity Type | Organization
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Legal Business Name | MICHAEL SABIN DMD PC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 733 N 1ST STREET
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City | LAKEVIEW
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State | OR
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Zip | 97630
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Country | US
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Telephone | 541-947-4066
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Fax | 541-947-3675
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Provider Business Mailing Address
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Address Line | 733 N 1ST STREET
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City | LAKEVIEW
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State | OR
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Zip | 97630
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Country | US
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Telephone | 541-947-4066
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Fax | 541-947-3675
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Authorized Official
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Title or Position | PC PRESIDENT
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Name | DR. MICHAEL JOHN SABIN
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Credential | DMD
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Telephone | 541-947-4066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5818
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5818
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License Number State | OR
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