Provider Demographics
NPI:1558656710
Name:SMITH, SARAH KRISTA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KRISTA
Last Name:SMITH
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 1:83 BEECH HILL DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-2945
Mailing Address - Country:US
Mailing Address - Phone:302-442-3233
Mailing Address - Fax:
Practice Address - Street 1:83 BEECH HILL DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-2945
Practice Address - Country:US
Practice Address - Phone:302-442-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1347122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist