Provider Demographics
NPI:1295111797
Name:SAWYER, PEI TING (DMD)
Entity type:Individual
Prefix:
First Name:PEI TING
Middle Name:
Last Name:SAWYER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 JAMIE LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-2943
Mailing Address - Country:US
Mailing Address - Phone:443-798-4049
Mailing Address - Fax:
Practice Address - Street 1:5601 BANDERA RD
Practice Address - Street 2:
Practice Address - City:LEON VALLEY
Practice Address - State:TX
Practice Address - Zip Code:78238-1986
Practice Address - Country:US
Practice Address - Phone:443-798-4049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0438231223G0001X
TX313361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice