Healthcare Provider Details

I. General information

NPI: 1437241569
Provider Name (Legal Business Name): SARAH S FLANAGAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8125 PARKWAY DR
LEEDS AL
35094-2227
US

IV. Provider business mailing address

3723 BAINBRIDGE TRACE DR
BIRMINGHAM AL
35210-2172
US

V. Phone/Fax

Practice location:
  • Phone: 205-699-2551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number5416
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: