Provider Demographics
NPI:1730879990
Name:DAWUD, SABRINA (DMD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:DAWUD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 W PIERCE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-3400
Mailing Address - Country:US
Mailing Address - Phone:708-949-9751
Mailing Address - Fax:
Practice Address - Street 1:7540 WHEELER DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5026
Practice Address - Country:US
Practice Address - Phone:708-949-9751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program