Provider Demographics
NPI:1861975245
Name:TEJANI, SARA (DMD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:TEJANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:MEGHJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8826 APPLE MILL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3758
Mailing Address - Country:US
Mailing Address - Phone:713-504-1937
Mailing Address - Fax:
Practice Address - Street 1:2232 HENNEPIN AVE. S.
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55405
Practice Address - Country:US
Practice Address - Phone:612-377-6108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13871122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist