Provider Demographics
NPI:1275675795
Name:SAUER, JASON KENNETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:KENNETH
Last Name:SAUER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:244 WESTCHESTER AVE STE 312
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2909
Mailing Address - Country:US
Mailing Address - Phone:914-948-7177
Mailing Address - Fax:914-289-1731
Practice Address - Street 1:244 WESTCHESTER AVE STE 312
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2909
Practice Address - Country:US
Practice Address - Phone:914-948-7177
Practice Address - Fax:914-289-1731
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0514471223P0700X, 1223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No1223G0001XDental ProvidersDentistGeneral Practice