Individual
DR. SARA KELLOGG TROYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2633 SHIRLEY DR, JACKSON, MI 49201-8633
(517) 787-2516
(517) 787-7734
Mailing address
2633 SHIRLEY DR, JACKSON, MI 49201-8633
(517) 787-2516
(517) 787-7734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FT1101980
MI
1223G0001X
General Practice Dentistry
2901019574
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814652714
TAX ID
MI
Enumeration date
06/04/2007
Last updated
03/17/2018
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