Provider Demographics
NPI:1851424337
Name:SAWYER, GREGORY L (GREG SAWYER, DDS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:L
Last Name:SAWYER
Suffix:
Gender:M
Credentials:GREG SAWYER, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15951 LOS GATOS BLVD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-3428
Mailing Address - Country:US
Mailing Address - Phone:408-402-0900
Mailing Address - Fax:408-402-0922
Practice Address - Street 1:15951 LOS GATOS BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3428
Practice Address - Country:US
Practice Address - Phone:408-402-0900
Practice Address - Fax:408-402-0922
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA265241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice