Provider Demographics
NPI:1427439421
Name:OPPEL-BROWN, SARAH KATHRYN (DDS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KATHRYN
Last Name:OPPEL-BROWN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:KATHRYN
Other - Last Name:OPPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7520 MONTGOMERY BLVD NE BLDG D2
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-1533
Mailing Address - Country:US
Mailing Address - Phone:505-293-9559
Mailing Address - Fax:505-293-9568
Practice Address - Street 1:7520 MONTGOMERY BLVD NE BLDG D2
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1533
Practice Address - Country:US
Practice Address - Phone:505-293-9559
Practice Address - Fax:505-293-9568
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD43021223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice