Individual
DR. STEPHEN ALAN SACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2001 MARCUS AVE, STE. N-10, LAKE SUCCESS, NY 11042-1011
(516) 775-1818
(516) 775-0892
Mailing address
2001 MARCUS AVE, STE. N-10, LAKE SUCCESS, NY 11042-1011
(516) 775-1818
(516) 775-0892
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
028490
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
028490
NY
1223X0008X
Oral and Maxillofacial Radiology Dentistry
028490
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
028490
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
028490
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00501157
—
NY
Enumeration date
04/18/2006
Last updated
07/26/2007
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