Provider Demographics
NPI:1538397609
Name:JOVANOVSKI, SARAH MAE (DMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MAE
Last Name:JOVANOVSKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:401 TERAVISTA PKWY
Mailing Address - Street 2:APT #1524
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1272
Mailing Address - Country:US
Mailing Address - Phone:504-906-8755
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 330, 761ST TANK BATTALION
Practice Address - Street 2:ATTN: DINA ELLIOTT
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-285-2014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244941223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics