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NPI 1417848987

NPI 1417848987 : SARAH ELIZABETH MIESNER DMD : REIDSVILLE, GA

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General NPI Number Information
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    NPI Number           |    1417848987
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH ELIZABETH MIESNER DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/14/2025
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    Last Update Date     |    07/14/2025
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Provider Practice Location Address
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    Address Line         |    244 S MAIN ST 
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    City                 |    REIDSVILLE
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    State                |    GA
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    Zip                  |    30453-4602
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    Country              |    US
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    Telephone            |    912-557-6307
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    301 PASSAGE WAY APT 4028 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31401-3133
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    Country              |    US
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    Telephone            |    727-858-2042
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DN123849
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    License Number State |    GA
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