Provider Demographics
NPI:1134212855
Name:SAUER, JOLANTA (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:JOLANTA
Middle Name:
Last Name:SAUER
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 SPRINGHURST BLVD.
Mailing Address - Street 2:SUITE 108 SPRINGHURST ENDODONTICS
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-0001
Mailing Address - Country:US
Mailing Address - Phone:502-618-1200
Mailing Address - Fax:502-618-1205
Practice Address - Street 1:3801 SPRINGHURST BLVD.
Practice Address - Street 2:SUITE 108 SPRINGHURST ENDODONTICS
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-0001
Practice Address - Country:US
Practice Address - Phone:502-618-1200
Practice Address - Fax:502-618-1205
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY82601223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics