Provider Demographics
NPI:1699843334
Name:FINCH, SANDRA J (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:J
Last Name:FINCH
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 1:2860 PIEDMONT AVE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811-2938
Mailing Address - Country:US
Mailing Address - Phone:218-722-0823
Mailing Address - Fax:218-722-7635
Practice Address - Street 1:2860 PIEDMONT AVE
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-2938
Practice Address - Country:US
Practice Address - Phone:218-722-0823
Practice Address - Fax:218-722-7635
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10617122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist