MEDICARE: SARA HOLDEN 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	10378	SC

General Provider Information

NPI Number	:	1790279032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA HOLDEN DDS

Provider Business Mailing Address
First Line	:	140 RIVER FLOW CT
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-7583
Country	:	US
Telephone Number	:	814-360-3804
Fax Number	:

Provider Business Practice Location Address
First Line	:	5080 SUNSET BLVD STE A
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7051
Country	:	US
Telephone Number	:	803-291-0880
Fax Number	:

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

Provider Enumeration Date	:	06/20/2018
Last Update Date	:	06/10/2026

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Directions to “ SARA HOLDEN DDS” Practice Location

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