NPI 1306025119

Autumn Renae Sackett, DDS

Practitioner Dentist Bucyrus, OH

Practice location

Address: 126 Hill Street, Bucyrus, OH 44820
Phone: (419) 562-0203
Fax: (419) 562-4467

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 21265 (OH)

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Registry record

NPI: 1306025119
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2007
Record last updated: 29 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.