Healthcare Provider Details

I. General information

NPI: 1609708957
Provider Name (Legal Business Name): SARAH MILES CAWTHON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL BRANCH HEALTH CLINIC MAYPORT
FPO AA
32228
US

IV. Provider business mailing address

1013 AUDUBON PKWY
LOUISVILLE KY
40213-1303
US

V. Phone/Fax

Practice location:
  • Phone: 904-270-3248
  • Fax:
Mailing address:
  • Phone: 502-822-0993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901602998
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: