MEDICARE: LAURIE A. SARGENT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	0401415566	VA

General Provider Information

NPI Number	:	1225123995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE A. SARGENT DDS

Provider Business Mailing Address
First Line	:	6084 SAM SNEAD HWY
Second Line	:
City	:	HOT SPRINGS
State	:	VA
Zip	:	24445-2664
Country	:	US
Telephone Number	:	240-295-3265
Fax Number	:	540-839-2836

Provider Business Practice Location Address
First Line	:	6084 SAM SNEAD HWY
Second Line	:
City	:	HOT SPRINGS
State	:	VA
Zip	:	24445-2664
Country	:	US
Telephone Number	:	240-295-3265
Fax Number	:	540-839-2836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/21/2022

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