Provider Demographics
NPI:1134339872
Name:TEVIS, SARAH ABIGAIL (DDS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ABIGAIL
Last Name:TEVIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:TEVIS
Other - Last Name:POTEET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:8226 DOUGLAS AVE.
Mailing Address - Street 2:SUITE 859
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225
Mailing Address - Country:US
Mailing Address - Phone:214-363-4414
Mailing Address - Fax:214-363-1315
Practice Address - Street 1:8226 DOUGLAS AVE.
Practice Address - Street 2:SUITE 859
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225
Practice Address - Country:US
Practice Address - Phone:214-363-4414
Practice Address - Fax:214-363-1315
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice