Provider Demographics
NPI:1932325693
Name:HERD, SARAH ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANN
Last Name:HERD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4724 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-2810
Mailing Address - Country:US
Mailing Address - Phone:317-354-0628
Mailing Address - Fax:
Practice Address - Street 1:115 N SHORTRIDGE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-4916
Practice Address - Country:US
Practice Address - Phone:317-357-2235
Practice Address - Fax:317-357-2210
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010740A1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics