Dr Sepideh Sabooree, MD, DMD is a
Oral & Maxillofacial Surgery based in Fernandina Beach, Florida. Dr Sepideh Sabooree is licensed to practice in North Carolina (license number 14122) and her current practice location is
960115 Gateway Blvd Ste 1, Fernandina Beach, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 491-0111.
NPI number for Dr Sepideh Sabooree is 1114310943 and her current mailing address is 1431 Riverplace Blvd Apt 2006, Jacksonville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114310943.
Healthcare Provider's Profile
| Full Name | Dr Sepideh Sabooree |
|---|
| Gender | Female |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 960115 Gateway Blvd Ste 1, Fernandina Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114310943
- Provider Enumeration Date: 03/18/2015
- Last Update Date: 06/26/2026
Medical Identifiers
Medical identifiers for Dr Sepideh Sabooree such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114310943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4917 (Arkansas) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DGD.10930 (South Carolina) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 92077 (Georgia) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DN21538 (Florida) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 14122 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sepideh Sabooree is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sepideh Sabooree, MD, DMD
1431 Riverplace Blvd Apt 2006,
Jacksonville, FL 32207-9110
Ph: (404) 626-0063 | Dr Sepideh Sabooree, MD, DMD
960115 Gateway Blvd Ste 1,
Fernandina Beach, FL 32034-9129
Ph: (904) 491-0111 |
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