Provider Demographics
NPI:1285046243
Name:ULLERY, SAHAR MARIE (DDS)
Entity type:Individual
Prefix:
First Name:SAHAR
Middle Name:MARIE
Last Name:ULLERY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SAHAR
Other - Middle Name:MARIE
Other - Last Name:PARVANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7234 FAR HILLS AVE
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4207
Mailing Address - Country:US
Mailing Address - Phone:937-886-4234
Mailing Address - Fax:937-886-4235
Practice Address - Street 1:7234 FAR HILLS AVE STE A
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4207
Practice Address - Country:US
Practice Address - Phone:937-886-4234
Practice Address - Fax:937-886-4235
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024230122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist