Healthcare Provider Details

I. General information

NPI: 1790279032
Provider Name (Legal Business Name): SARA HOLDEN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5080 SUNSET BLVD STE A
LEXINGTON SC
29072-7051
US

IV. Provider business mailing address

140 RIVER FLOW CT
WEST COLUMBIA SC
29169-7583
US

V. Phone/Fax

Practice location:
  • Phone: 803-291-0880
  • Fax:
Mailing address:
  • Phone: 814-360-3804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number10378
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: