Provider Demographics
NPI:1104996511
Name:SAUERS, NANCY MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:MARIE
Last Name:SAUERS
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 1:816 SELLINGER AVENUE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-4116
Mailing Address - Country:US
Mailing Address - Phone:814-838-7020
Mailing Address - Fax:814-833-5686
Practice Address - Street 1:816 SELLINGER AVENUE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4116
Practice Address - Country:US
Practice Address - Phone:814-838-7020
Practice Address - Fax:814-833-5686
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025825L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist