Provider Demographics
NPI:1447221114
Name:SARA E MENG DDS PA
Entity Type:Organization
Organization Name:SARA E MENG DDS PA
Other - Org Name:SARA E MENG DDS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MENG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS PA
Authorized Official - Phone:316-943-2327
Mailing Address - Street 1:3455 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203
Mailing Address - Country:US
Mailing Address - Phone:316-943-2327
Mailing Address - Fax:316-941-4194
Practice Address - Street 1:3455 W 13TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203
Practice Address - Country:US
Practice Address - Phone:316-943-2327
Practice Address - Fax:316-941-4194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60254122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty