Provider Demographics
NPI:1588790430
Name:SACHS, DAVID A (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:SACHS
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 1:2263 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-5825
Mailing Address - Country:US
Mailing Address - Phone:954-475-0700
Mailing Address - Fax:954-475-1201
Practice Address - Street 1:2263 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-5825
Practice Address - Country:US
Practice Address - Phone:954-475-0700
Practice Address - Fax:954-475-1201
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL61231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice