National Provider Identifier

Sanel Sadibasic

Sanel Sadibasic is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 862-7804.

NPI 1457744633Buffalo, NYDentist

Profile Overview

NPI
1457744633
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
March 11, 2015
Last Updated
February 26, 2018

Practice Location

  • 3495 Bailey Ave
  • Buffalo, NY 14215-1129

Phone: (716) 862-7804

Mailing Address

  • 26 Kofler Ave
  • Buffalo, NY 14207-1823

Specialties

  • Dentist (122300000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1457744633
Entity Type
Individual
Last Name
Sadibasic
First Name
Sanel
Mailing Street Address
26 Kofler Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-1823
Mailing Country
US
Mailing Phone
(716) 553-7696
Practice Street Address
3495 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1129
Practice Country
US
Practice Phone
(716) 862-7804
Enumeration Date
March 11, 2015
Last Updated
February 26, 2018
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 2
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)