Provider Demographics
NPI:1518168665
Name:MOSLEY, SARA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:S
Last Name:MOSLEY
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 1:9915 E BELL RD STE 130
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2396
Mailing Address - Country:US
Mailing Address - Phone:480-538-8264
Mailing Address - Fax:
Practice Address - Street 1:9915 E BELL RD STE 130
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2396
Practice Address - Country:US
Practice Address - Phone:480-538-8264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD5902122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist