Provider Demographics
NPI:1912740663
Name:SB DENTISTRY LLC
Entity type:Organization
Organization Name:SB DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIENES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:504-208-0967
Mailing Address - Street 1:8384 JEFFERSON HWY STE 4
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70123-4334
Mailing Address - Country:US
Mailing Address - Phone:504-738-9900
Mailing Address - Fax:
Practice Address - Street 1:8384 JEFFERSON HWY STE 4
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70123-4334
Practice Address - Country:US
Practice Address - Phone:504-738-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental