Provider Demographics
NPI:1861802431
Name:SARTORI, NEIMAR (DDS, MD, PHD)
Entity type:Individual
Prefix:DR
First Name:NEIMAR
Middle Name:
Last Name:SARTORI
Suffix:
Gender:M
Credentials:DDS, MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 SPRING STUEBNER RD APT 26105
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-5386
Mailing Address - Country:US
Mailing Address - Phone:424-278-3041
Mailing Address - Fax:
Practice Address - Street 1:6315 CYPRESSWOOD DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-8208
Practice Address - Country:US
Practice Address - Phone:832-737-8656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX400561223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty