Provider Demographics
NPI:1356452718
Name:NORTHCUTT, SARA BRAWNER (DDS)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:BRAWNER
Last Name:NORTHCUTT
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 1:1441 NEW HIGHWAY 96 WEST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064
Mailing Address - Country:US
Mailing Address - Phone:615-790-4994
Mailing Address - Fax:615-656-2178
Practice Address - Street 1:1441 NEW HIGHWAY 96 WEST
Practice Address - Street 2:SUITE 6
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064
Practice Address - Country:US
Practice Address - Phone:615-790-4994
Practice Address - Fax:615-656-2178
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN07885122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist