Provider Demographics
NPI:1730811852
Name:WILLIAMS LEWIS, SARAH DENISE (DA)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:DENISE
Last Name:WILLIAMS LEWIS
Suffix:
Gender:F
Credentials:DA
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:DENISE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DA
Mailing Address - Street 1:5821 HARR AVE APT D
Mailing Address - Street 2:
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80902-2020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5821 HARR AVE APT D
Practice Address - Street 2:
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80902-2020
Practice Address - Country:US
Practice Address - Phone:832-571-7513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant