Provider Demographics
NPI:1063090124
Name:SABET-SHARGHI, LEVA ASIYEH (DDS)
Entity type:Individual
Prefix:MS
First Name:LEVA
Middle Name:ASIYEH
Last Name:SABET-SHARGHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2565 RUTHERFORD WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6666
Mailing Address - Country:US
Mailing Address - Phone:440-739-0639
Mailing Address - Fax:
Practice Address - Street 1:384 E 5TH NORTH ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6826
Practice Address - Country:US
Practice Address - Phone:843-821-6433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDGD.105821223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry