Provider Demographics
NPI:1760509145
Name:SACHS, JOEL S (DDS)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:S
Last Name:SACHS
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 1:4527 LILAC LANE
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043
Mailing Address - Country:US
Mailing Address - Phone:410-461-6366
Mailing Address - Fax:
Practice Address - Street 1:8556 FORT SMALLWOOD ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-2634
Practice Address - Country:US
Practice Address - Phone:410-360-5116
Practice Address - Fax:410-360-6476
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD70321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice