Provider Demographics
NPI:1366023251
Name:SARAH C WILMER DDS PLLC
Entity Type:Organization
Organization Name:SARAH C WILMER DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-784-2386
Mailing Address - Street 1:27 BRIGGS DR
Mailing Address - Street 2:
Mailing Address - City:MANAKIN SABOT
Mailing Address - State:VA
Mailing Address - Zip Code:23103-2250
Mailing Address - Country:US
Mailing Address - Phone:804-784-2386
Mailing Address - Fax:804-784-2779
Practice Address - Street 1:27 BRIGGS DR
Practice Address - Street 2:
Practice Address - City:MANAKIN SABOT
Practice Address - State:VA
Practice Address - Zip Code:23103-2250
Practice Address - Country:US
Practice Address - Phone:804-784-2386
Practice Address - Fax:804-784-2779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty