Active NPIIndividual providerSole proprietor

Sara Ellaithy, DMD

Dentist in Princeton, New Jersey

NPI Number1790307684
Practice location
417 Wall St, Princeton, NJ 08540-1504
Fax
—
Last updated
July 6, 2021

Sara Ellaithy is a Dentist based in Princeton, NJ. Sara Ellaithy practices in Princeton, NJ and has the professional credentials of DMD. The NPI Number for Sara Ellaithy is 1790307684 and holds a License No. 22DI02823600 (NJ). The current practice location address for Sara Ellaithy is 417 Wall St, Princeton, NJ 08540-1504 and can be reached out via phone at 732-812-1807.

Provider Profile Details

NPI Number
1790307684
Provider Name
Sara Ellaithy
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
417 Wall St, Princeton, NJ 08540-1504
Phone Number
732-812-1807
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 13, 2020
Last Update Date
July 6, 2021
Certification Date
July 6, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
417 Wall St
Princeton, NJ 08540-1504
Zip
08540-1504
Phone Number
732-812-1807
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
775 Twin Rivers Dr N
East Windsor, NJ 08520-5613
City
East Windsor
State
NJ
Zip
08520-5613
Phone Number
732-812-1807

License Information

License Number (2)
22DI02823600
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sara Ellaithy, DMD?

The NPI number of Sara Ellaithy, DMD is 1790307684. It was assigned on May 13, 2020 and is currently active in the NPPES registry.

What is the specialty of Sara Ellaithy, DMD?

Sara Ellaithy, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02823600.

Where does Sara Ellaithy, DMD practice?

The practice location is 417 Wall St, Princeton, NJ 08540-1504. The office can be reached at 732-812-1807 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790307684 directly on the NPPES registry website.

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