MEDICARE: SABRINA NOORVASH DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	39955	TX

General Provider Information

NPI Number	:	1386420362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA NOORVASH DDS

Provider Business Mailing Address
First Line	:	5620 ANITA ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5308
Country	:	US
Telephone Number	:	310-490-0941
Fax Number	:

Provider Business Practice Location Address
First Line	:	4222 TRINITY MILLS RD STE 118
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-7658
Country	:	US
Telephone Number	:	972-833-7785
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	06/16/2025

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