Provider Demographics
NPI:1730456948
Name:SAGER, NICHOLAS BRANDON (DDS)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:BRANDON
Last Name:SAGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 STONE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3039
Mailing Address - Country:US
Mailing Address - Phone:254-855-3899
Mailing Address - Fax:
Practice Address - Street 1:506 N HEWITT DR
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:TX
Practice Address - Zip Code:76643-3038
Practice Address - Country:US
Practice Address - Phone:254-666-1686
Practice Address - Fax:254-666-9252
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27072122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist