Provider Demographics
NPI:1447598115
Name:SARAH M. WITHROW, DMD LLC
Entity Type:Organization
Organization Name:SARAH M. WITHROW, DMD LLC
Other - Org Name:ARLINGTON DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/SOLE MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:WITHROW
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-337-1147
Mailing Address - Street 1:119 ARLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-1774
Mailing Address - Country:US
Mailing Address - Phone:256-461-4184
Mailing Address - Fax:
Practice Address - Street 1:119 ARLINGTON DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-1774
Practice Address - Country:US
Practice Address - Phone:256-461-4184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD5645122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty