# SARA KELLOGG DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669916227
- **Authorized official:** DR. SARA KELLOGG DDS (DDS/OWNER)
- **Authorized official phone:** (517) 787-2516

## Contact information

- **Practice address:** 2633 SHIRLEY DR, JACKSON, MI 49201-8633
- **Practice address phone:** (517) 787-2516
- **Practice address fax:** (517) 787-7734
- **Mailing address:** 2633 SHIRLEY DR, JACKSON, MI 49201-8633
- **Mailing address phone:** (517) 787-2516
- **Mailing address fax:** (517) 787-7734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901019574 | MI | Yes |

## Other

- **Enumeration date:** 12/15/2016
- **Last updated:** 12/15/2016