Provider Demographics
NPI:1922185776
Name:KATZ, SARAH K
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:K
Last Name:KATZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-3411
Mailing Address - Country:US
Mailing Address - Phone:603-224-3151
Mailing Address - Fax:603-228-3417
Practice Address - Street 1:514 SOUTH ST
Practice Address - Street 2:
Practice Address - City:BOW
Practice Address - State:NH
Practice Address - Zip Code:03304-3411
Practice Address - Country:US
Practice Address - Phone:603-224-3151
Practice Address - Fax:603-228-3417
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH30801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice