Provider Demographics
NPI:1487957718
Name:SATER, RAMI (DDS)
Entity type:Individual
Prefix:DR
First Name:RAMI
Middle Name:
Last Name:SATER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 S COOPER ST
Mailing Address - Street 2:#105
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-6751
Mailing Address - Country:US
Mailing Address - Phone:682-323-3299
Mailing Address - Fax:
Practice Address - Street 1:6401 S COOPER ST
Practice Address - Street 2:#105
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-6751
Practice Address - Country:US
Practice Address - Phone:682-323-3299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX218808809Medicaid