NPI Code Details Logo

NPI 1760346399

NPI 1760346399 : SARAH A SMITH DDS PC : SAINT PETERS, MO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760346399
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SARAH A SMITH DDS PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/09/2025
-----------------------------------------------------
    Last Update Date     |    12/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    322 JUNGERMANN RD 
-----------------------------------------------------
    City                 |    SAINT PETERS
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63376-5350
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    636-477-1200
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    322 JUNGERMANN RD 
-----------------------------------------------------
    City                 |    SAINT PETERS
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63376-5350
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    636-477-1200
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     SARAH  SMITH 
-----------------------------------------------------
    Credential           |    DDS
-----------------------------------------------------
    Telephone            |    636-477-1200
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223P0221X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Dentistry
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.