Provider Demographics
NPI:1912230236
Name:WILLIAMSON, SARAH CATHERINE (DMD)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:CATHERINE
Last Name:WILLIAMSON
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 1:4901 N TRYON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-7076
Mailing Address - Country:US
Mailing Address - Phone:704-921-0204
Mailing Address - Fax:704-921-4095
Practice Address - Street 1:4901 N TRYON ST
Practice Address - Street 2:SUITE A
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-7076
Practice Address - Country:US
Practice Address - Phone:704-921-0204
Practice Address - Fax:704-921-4095
Is Sole Proprietor?:No
Enumeration Date:2009-09-18
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5710122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist