Provider Demographics
NPI:1336410729
Name:AUGUSTUS, SANA P (DDS)
Entity type:Individual
Prefix:DR
First Name:SANA
Middle Name:P
Last Name:AUGUSTUS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:15 N NEVADA AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1708
Mailing Address - Country:US
Mailing Address - Phone:719-576-1850
Mailing Address - Fax:719-576-1929
Practice Address - Street 1:3401 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2501
Practice Address - Country:US
Practice Address - Phone:202-829-5437
Practice Address - Fax:202-829-9255
Is Sole Proprietor?:No
Enumeration Date:2012-01-18
Last Update Date:2016-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA04014134321223X0400X
DCDEN10010671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics