Provider Demographics
NPI:1215729215
Name:NEVOLIS, SARAH BEATRICE (DMD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BEATRICE
Last Name:NEVOLIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 GREEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-1242
Mailing Address - Country:US
Mailing Address - Phone:203-215-4210
Mailing Address - Fax:
Practice Address - Street 1:97 GREEN HILL RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-1242
Practice Address - Country:US
Practice Address - Phone:203-215-4210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program