Provider Demographics
NPI:1760797377
Name:BENTLER, WENDY SUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:SUE
Last Name:BENTLER
Suffix:
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 1:438 S COEUR DALENE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-5865
Mailing Address - Country:US
Mailing Address - Phone:310-770-5344
Mailing Address - Fax:
Practice Address - Street 1:731 W INDIANA AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4627
Practice Address - Country:US
Practice Address - Phone:509-557-7549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08696122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist