Provider Demographics
NPI:1972757037
Name:SABATE, GERARD (DDS)
Entity type:Individual
Prefix:
First Name:GERARD
Middle Name:
Last Name:SABATE
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 1:233 CAJON ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5257
Mailing Address - Country:US
Mailing Address - Phone:909-798-4800
Mailing Address - Fax:
Practice Address - Street 1:233 CAJON ST
Practice Address - Street 2:SUITE 1
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5257
Practice Address - Country:US
Practice Address - Phone:909-798-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-15
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA575671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice