Healthcare Provider Details

I. General information

NPI: 1144155862
Provider Name (Legal Business Name): SARAH ASHLEIGH WEAVER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH ASHLEIGH KULP

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4004 TRINDLE RD
CAMP HILL PA
17011-4242
US

IV. Provider business mailing address

4004 TRINDLE RD
CAMP HILL PA
17011-4242
US

V. Phone/Fax

Practice location:
  • Phone: 717-737-5120
  • Fax: 717-737-5288
Mailing address:
  • Phone: 717-737-5120
  • Fax: 717-737-5288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS045746
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: