Provider Demographics
NPI:1417178484
Name:DENZINGER-ROWE, SARA LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:LYNN
Last Name:DENZINGER-ROWE
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 1:3508 CHATEAU WAY
Mailing Address - Street 2:
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-9762
Mailing Address - Country:US
Mailing Address - Phone:812-941-7177
Mailing Address - Fax:
Practice Address - Street 1:5140 CHARLESTOWN RD
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-9475
Practice Address - Country:US
Practice Address - Phone:812-941-1400
Practice Address - Fax:812-941-8089
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009852A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice