Provider Demographics
NPI:1982055885
Name:TROTTIER, SARA SAMAHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:SAMAHA
Last Name:TROTTIER
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 1:12 PARKINGWAY
Mailing Address - Street 2:
Mailing Address - City:COHASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02025-1708
Mailing Address - Country:US
Mailing Address - Phone:781-383-2218
Mailing Address - Fax:
Practice Address - Street 1:12 PARKINGWAY
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025-1708
Practice Address - Country:US
Practice Address - Phone:781-383-2218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL12913204E00000X
MADN18587711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery