Provider Demographics
NPI:1467748285
Name:DEEDS, SARAH MARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARIE
Last Name:DEEDS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 STONECROSSING DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-8404
Mailing Address - Country:US
Mailing Address - Phone:931-551-4400
Mailing Address - Fax:931-552-8972
Practice Address - Street 1:271 STONECROSSING DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-8404
Practice Address - Country:US
Practice Address - Phone:931-551-4400
Practice Address - Fax:931-552-8972
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 19382122300000X
TN9449122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist