Provider Demographics
NPI:1639306913
Name:BILLESBACH, SARAH THERESE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:THERESE
Last Name:BILLESBACH
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 1:7337 FARNAM ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4627
Mailing Address - Country:US
Mailing Address - Phone:402-397-7799
Mailing Address - Fax:402-939-0330
Practice Address - Street 1:7337 FARNAM ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4627
Practice Address - Country:US
Practice Address - Phone:402-397-7799
Practice Address - Fax:402-939-0330
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6820122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist