Provider Demographics
NPI:1215272109
Name:SAKHAI, SEAN ABRAHAM (DDS)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:ABRAHAM
Last Name:SAKHAI
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 1:6342 FALLBROOK AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-1613
Mailing Address - Country:US
Mailing Address - Phone:818-887-7772
Mailing Address - Fax:
Practice Address - Street 1:6342 FALLBROOK AVE STE 101
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-1613
Practice Address - Country:US
Practice Address - Phone:818-887-7772
Practice Address - Fax:818-887-2231
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61625122300000X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA61625OtherCALIFORNIA DENTAL LICENSES
CAFS3533785OtherDEA NUMBER