Provider Demographics
NPI:1649720574
Name:SARAH J EUBANK DDS PLLC
Entity type:Organization
Organization Name:SARAH J EUBANK DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:EUBANK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-855-7605
Mailing Address - Street 1:2101 TEAKWOOD LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-4420
Mailing Address - Country:US
Mailing Address - Phone:972-596-1811
Mailing Address - Fax:
Practice Address - Street 1:2101 TEAKWOOD LN
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4420
Practice Address - Country:US
Practice Address - Phone:972-596-1811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28210122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty