MEDICARE: SAVAGE DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1801585922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVAGE DENTAL PLLC

Provider Business Mailing Address
First Line	:	14247 OCONNELL CT
Second Line	:
City	:	SAVAGE
State	:	MN
Zip	:	55378-2878
Country	:	US
Telephone Number	:	952-226-3560
Fax Number	:

Provider Business Practice Location Address
First Line	:	14247 OCONNELL CT
Second Line	:
City	:	SAVAGE
State	:	MN
Zip	:	55378-2878
Country	:	US
Telephone Number	:	952-226-3560
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN SARLES
Credential	:	DDS
Telephone Number	:	952-447-1080

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	05/04/2023

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Directions to “SAVAGE DENTAL PLLC ” Practice Location

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