Healthcare Provider Details

I. General information

NPI: 1699016105
Provider Name (Legal Business Name): SARAH ELIZABETH DEVEAUX D.D.S., MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ELIZABETH TOWARD D.D.S.

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ATTN: CREDENTIALS OFFICE UNIT 6180
APO AE
09604
US

IV. Provider business mailing address

ATTN: CREDENTIALS OFFICE 31ST MDG, 31ST DS UNIT 6180 BOX 245
APO AE
09604-0245
US

V. Phone/Fax

Practice location:
  • Phone: 314-632-5060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberD9887
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD9887
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: