# DR. SARAH A WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811066715
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12008962 | IN | Yes |
| 122300000X | Dentist | 54001011A | IN | — |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 05/11/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12008962 | — | IN |