Provider Demographics
NPI:1598149569
Name:BAXTER, SARAH JOANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JOANNE
Last Name:BAXTER
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 1:2424 WALTER DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3455
Mailing Address - Country:US
Mailing Address - Phone:317-691-3480
Mailing Address - Fax:
Practice Address - Street 1:2424 WALTER DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3455
Practice Address - Country:US
Practice Address - Phone:317-691-3480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-19
Last Update Date:2015-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021584122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist