MEDICARE: SARAH ELIZABETH SAUTTER 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	12014741A	IN

General Provider Information

NPI Number	:	1871485060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH SAUTTER DDS

Provider Business Mailing Address
First Line	:	2204 MIAMI TRL
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-1924
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1827 NORTHWESTERN AVE
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-2279
Country	:	US
Telephone Number	:	765-463-5200
Fax Number	:

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

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	07/28/2025

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