Provider Demographics
NPI:1396150777
Name:WEBER, SARA JANE (DDS)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:JANE
Last Name:WEBER
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:W5984 SWEET PEA DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-5218
Mailing Address - Country:US
Mailing Address - Phone:920-850-3908
Mailing Address - Fax:
Practice Address - Street 1:2830 CURRY CT STE 1
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54311-4877
Practice Address - Country:US
Practice Address - Phone:920-432-7230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7271-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist