Provider Demographics
NPI:1710545314
Name:SACHDEVA, SARAH ANNE (DMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANNE
Last Name:SACHDEVA
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANNE
Other - Last Name:SACHDEVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:327 MILLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-1754
Mailing Address - Country:US
Mailing Address - Phone:734-864-2394
Mailing Address - Fax:
Practice Address - Street 1:19189 W 10 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2442
Practice Address - Country:US
Practice Address - Phone:248-996-8756
Practice Address - Fax:248-595-8958
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901601977122300000X
WI1002232-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist