DR. SARAH KANDRAC WILSON DDS NPI 1568756559

NPI Information

  • NPI: 1568756559
  • Provider Name: DR. SARAH KANDRAC WILSON, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4231 COLONIAL AVE
    ROANOKE, VA
    ZIP 24018
  • Phone: (540) 989-4698

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NPI Details

DR. Sarah Kandrac Wilson, DDS is a general practice dentist in Roanoke, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Sarah Kandrac Wilson, DDS NPI is 1568756559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4231 COLONIAL AVE
ROANOKE, VA
ZIP 24018-025
Phone: (540) 989-4698
Fax: (540) 989-4627

The NPI 1568756559 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/7/2011 and was last updated on 7/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice0401-413190VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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