Provider Demographics
NPI:1154400596
Name:SABBAGH, EMILY MARIE (MD, DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:MARIE
Last Name:SABBAGH
Suffix:
Gender:F
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 2ND ST SE STE 100
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5543
Mailing Address - Country:US
Mailing Address - Phone:253-833-9066
Mailing Address - Fax:
Practice Address - Street 1:309 2ND ST SE STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5543
Practice Address - Country:US
Practice Address - Phone:253-833-9066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA070561223S0112X
WAMD00031910204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Not Answered204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA07056OtherDENTAL LIC
WA1088830OtherDSHS NUMBER MEDICAL
WA182105OtherUNITED CONCORDIA NUMBER
WAMD00031910OtherMEDICAL LIC
WASA6562OtherREGENCE NUMBER AUBURN OFF
WA57215AOtherREGENCE FEDERAL WAY
WA5016282OtherDSHS NUMBER DENTAL
WA08025OtherWDS NUMBER
NY192192-1OtherNEW YORK LIC
NY192192-1OtherNEW YORK LIC
WA08025OtherWDS NUMBER