Provider Demographics
NPI:1396064333
Name:SABETI, SHAMIM M (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAMIM
Middle Name:M
Last Name:SABETI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 W 37TH ST
Mailing Address - Street 2:APT 903
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-4081
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:455 W 37TH ST
Practice Address - Street 2:APT 903
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4081
Practice Address - Country:US
Practice Address - Phone:301-674-9862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP70046122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist