Provider Demographics
NPI:1629120993
Name:SACHS, NANCY ANNE X (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANNE
Last Name:SACHS
Suffix:X
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9320 W LISBON AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-2526
Mailing Address - Country:US
Mailing Address - Phone:414-466-7600
Mailing Address - Fax:
Practice Address - Street 1:9320 W LISBON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-2526
Practice Address - Country:US
Practice Address - Phone:414-466-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5001976-0151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice