Provider Demographics
NPI:1922447879
Name:GREENLAW-QUINTON, SARAH ANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANNE
Last Name:GREENLAW-QUINTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 JACKSON STREET
Mailing Address - Street 2:2ND FLOOR - DENTAL DEPARTMENT
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852
Mailing Address - Country:US
Mailing Address - Phone:978-221-6850
Mailing Address - Fax:782-216-2079
Practice Address - Street 1:161 JACKSON STREET
Practice Address - Street 2:DENTAL DEPARTMENT - 2ND FLOOR
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852
Practice Address - Country:US
Practice Address - Phone:978-221-6850
Practice Address - Fax:978-221-6207
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL11872122300000X
MADN1856435122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist