Provider Demographics
NPI:1417519828
Name:KEY, SARAH ANN (DMD MS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANN
Last Name:KEY
Suffix:
Gender:F
Credentials:DMD MS
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:JESTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD MS
Mailing Address - Street 1:630 SOLON RD APT 3205
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1633
Mailing Address - Country:US
Mailing Address - Phone:770-595-5607
Mailing Address - Fax:
Practice Address - Street 1:1618 US-287 BUS
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:469-773-4075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX352741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice