Al-Sabbagh, Mohanad

Al-Sabbagh, Mohanad is an individual health care provider with primary practice located at 800 Rose St , Lexington KY 40536-0297. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Al-Sabbagh, Mohanad can be contacted via phone (859) 323-6193.

Contact Information

Primary practice address
800 Rose St Lexington KY 40536-0297
Phone: (859) 323-6193
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8148 Kentucky
Dental Providers / Periodontics 1223P0300X 8148 Kentucky

Profile Details

NPI number 1699875591
LBN Legal business name Al-Sabbagh, Mohanad
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699875591 NPPES
Kentucky MEDICAID 9177550
Kentucky MEDICAID 60003340

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