Provider Demographics
NPI:1023676582
Name:SCHROEDER, SARAH C (DDS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:C
Last Name:SCHROEDER
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:PO BOX 109
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:NE
Mailing Address - Zip Code:68301-0109
Mailing Address - Country:US
Mailing Address - Phone:402-988-2003
Mailing Address - Fax:
Practice Address - Street 1:610 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:NE
Practice Address - Zip Code:68301-7793
Practice Address - Country:US
Practice Address - Phone:402-988-2003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7540122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist