Provider Demographics
NPI:1568559300
Name:SAUR, ROBERT G (DDS, SC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:G
Last Name:SAUR
Suffix:
Gender:M
Credentials:DDS, SC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13310 BURLAWN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-3367
Mailing Address - Country:US
Mailing Address - Phone:262-781-0316
Mailing Address - Fax:
Practice Address - Street 1:12690 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-4636
Practice Address - Country:US
Practice Address - Phone:262-785-1499
Practice Address - Fax:262-785-0282
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50006871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice