Provider Demographics
NPI:1215222963
Name:JOHN D. SAWYER D.D.S
Entity Type:Organization
Organization Name:JOHN D. SAWYER D.D.S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:507-526-3111
Mailing Address - Street 1:PO BOX 425
Mailing Address - Street 2:
Mailing Address - City:BLUE EARTH
Mailing Address - State:MN
Mailing Address - Zip Code:56013-0425
Mailing Address - Country:US
Mailing Address - Phone:507-526-3111
Mailing Address - Fax:507-526-3140
Practice Address - Street 1:109 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BLUE EARTH
Practice Address - State:MN
Practice Address - Zip Code:56013-1960
Practice Address - Country:US
Practice Address - Phone:507-526-3111
Practice Address - Fax:507-526-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty