Provider Demographics
NPI:1831398866
Name:BAUMRIND, SARA BESS (DMD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:BESS
Last Name:BAUMRIND
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 1:100 PEACHTREE ST STE 1820
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1914
Mailing Address - Country:US
Mailing Address - Phone:404-659-4222
Mailing Address - Fax:404-659-7616
Practice Address - Street 1:100 PEACHTREE ST STE 1820
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-1914
Practice Address - Country:US
Practice Address - Phone:404-659-4222
Practice Address - Fax:404-659-7616
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8661122300000X
GADN013512122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist