Provider Demographics
NPI:1013225077
Name:WENTZEL, SARAH ELISABETH (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELISABETH
Last Name:WENTZEL
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 FRUITVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4079
Mailing Address - Country:US
Mailing Address - Phone:717-569-7001
Mailing Address - Fax:
Practice Address - Street 1:1801 FRUITVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4079
Practice Address - Country:US
Practice Address - Phone:717-569-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010201681223X0400X
PADS037571223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics