DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA SATHISSARAT

Active Sole Proprietor

JESSICA SATHISSARAT is a Periodontology healthcare provider located in WRIGHT-PATTERSON AFB, Ohio. NPI 1427357904 is currently active in the NPPES registry. Verify at CMS.

Periodontology · WRIGHT-PATTERSON AFB, OH

Registration Details

NPI Number
1427357904
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2011 (15.42420165155 yrs)
Last Updated
Jul 6, 2023
License
019.028641 (IL)
Sole Proprietor
Yes

Practice Information

Address
88 MDG/SGHJ
4881 SUGAR MAPLE DR. BLDG 830
WRIGHT-PATTERSON AFB, OH, 454335529
Browse OH providers · Browse ZIP 45433
Phone
9372570500
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology

Other Periodontology Providers in WRIGHT-PATTERSON AFB, OH

Name Credential NPI
DR. MICHAEL POTH D.D.S., M.S. 1578549804
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.