Provider Demographics
NPI:1093385528
Name:HAMIL, SARAH BEAZLEY (DDS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BEAZLEY
Last Name:HAMIL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 SUMMIT CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4244
Mailing Address - Country:US
Mailing Address - Phone:865-964-7694
Mailing Address - Fax:
Practice Address - Street 1:6207 HIGHLAND PLACE WAY STE 101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4028
Practice Address - Country:US
Practice Address - Phone:865-851-9347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN116311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice