Provider Demographics
NPI:1407977325
Name:SIEVENPIPER, WENDY SUSAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:SUSAN
Last Name:SIEVENPIPER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:WENDY
Other - Middle Name:SIEVENPIPER
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:287 BRANTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4307
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 FOREST AVENEUE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213
Practice Address - Country:US
Practice Address - Phone:718-221-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046395122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY046395Medicaid
NYOTH000Medicare UPIN