MEDICARE: DOMINIC SABATINI DMD

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	1223G0001X	General Practice Dentistry	DS031498L	PA

General Provider Information

NPI Number	:	1861745275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOMINIC SABATINI DMD

Provider Business Mailing Address
First Line	:	8700 PENNSYLVANIA AVE
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2762
Country	:	US
Telephone Number	:	724-864-0070
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 PENNSYLVANIA AVE
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2762
Country	:	US
Telephone Number	:	724-864-0070
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DOMINIC SABATINI
Credential	:
Telephone Number	:	724-864-0070

Provider Enumeration Date	:	10/23/2012
Last Update Date	:	10/23/2012

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