Provider Demographics
NPI:1063581700
Name:SABATER-WEDDLE, MICHELLE (DDS)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:SABATER-WEDDLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:WEDDLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:10 SHAWNEE DR
Mailing Address - Street 2:SUITE A5
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-5803
Mailing Address - Country:US
Mailing Address - Phone:908-561-0225
Mailing Address - Fax:908-561-0343
Practice Address - Street 1:10 SHAWNEE DR
Practice Address - Street 2:SUITE A5
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-5803
Practice Address - Country:US
Practice Address - Phone:908-561-0225
Practice Address - Fax:908-561-0343
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102195100122300000X
NJ102195100122300000X
NJ22DI02195102122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist