NPI 1114281490 · live from the CMS NPI Registry
Sara M Bevan, D.M.D.
Dentist in Dover, DE. National Provider Identifier 1114281490, active.
NPI record
| NPI | 1114281490 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 250 Beiser Blvd, Suite 102, Dover, DE 19904 |
| Practice phone | 302-735-4800 |
| Mailing address | 11 Hemsted Ct, Dover, DE 19904 |
| Enumerated | July 1, 2012 |
| Last updated | November 17, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | G1-0001333 (DE) |
| Dentist | 122300000X | DS038828 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.