Provider Demographics
NPI:1982100137
Name:WRIGHT, SARAH E (RDH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3585 POLK CIR E
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-1682
Mailing Address - Country:US
Mailing Address - Phone:970-978-0780
Mailing Address - Fax:
Practice Address - Street 1:2001 S SHIELDS ST STE L
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1839
Practice Address - Country:US
Practice Address - Phone:970-221-5115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO904612124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist