Provider Demographics
NPI:1073850772
Name:SARAH EAGER, DDS, PC
Entity Type:Organization
Organization Name:SARAH EAGER, DDS, PC
Other - Org Name:EAGER FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:EAGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:401-434-2626
Mailing Address - Street 1:600 WAMPANOAG TRL
Mailing Address - Street 2:SUITE A
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-1511
Mailing Address - Country:US
Mailing Address - Phone:401-434-2626
Mailing Address - Fax:401-434-2799
Practice Address - Street 1:600 WAMPANOAG TRL
Practice Address - Street 2:SUITE A
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-1511
Practice Address - Country:US
Practice Address - Phone:401-434-2626
Practice Address - Fax:401-434-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty