Provider Demographics
NPI:1154572865
Name:SAKHAEE, ARTIN (DDS)
Entity type:Individual
Prefix:MR
First Name:ARTIN
Middle Name:
Last Name:SAKHAEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11956 METROPOLITAN AVE
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2606
Mailing Address - Country:US
Mailing Address - Phone:718-441-2291
Mailing Address - Fax:718-441-2292
Practice Address - Street 1:11956 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2606
Practice Address - Country:US
Practice Address - Phone:718-441-2291
Practice Address - Fax:718-741-2292
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0540411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03349855Medicaid