Sarah Emily Graesser Gordon, DDS
Individual provider Active NPI General Practice Dentistry · Arnold, MO
NPI 1487096715 · NPPES record last updated May 22, 2018
Key facts
- NPI
- 1487096715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2013017914 (MO)
- Practice address
- 124 Richardson Xing
Arnold, MO 63010 - Phone
- (636) 464-6444
- NPI assigned
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013017914 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnold Smiles, LLC | Past | Accepting new patients | |
| Arnold Smiles Dental LLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2013017914 | MO | Yes |
Addresses
Primary practice location
124 Richardson Xing
Arnold, MO 63010
Mailing address
124 Richardson Xing
Arnold, MO 63010-6023
Phone (636) 464-6444
Other providers in Arnold, MO
- Michelle Goewert
- Gokenbach Health, LLC
- Rachael M Gokenbach
- Kristine Gonzalez
- Christine Gordon
- Rosemary Jane Gottlieb
- Molly Sue Grabill
- Ciera Green
- Christopher Greenwald
- Megan Alicia Gretzmacher
All providers in Arnold, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.