Provider Demographics
NPI:1558742049
Name:BEERS, SARAH E (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:BEERS
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 1:1438 E AUGUSTINE LANE
Mailing Address - Street 2:STE 1
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703
Mailing Address - Country:US
Mailing Address - Phone:479-251-9000
Mailing Address - Fax:479-251-9002
Practice Address - Street 1:1438 E AUGUSTINE LN STE 1
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4943
Practice Address - Country:US
Practice Address - Phone:479-251-9000
Practice Address - Fax:479-251-9002
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR40461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice