Provider Demographics
NPI:1174407605
Name:WILMOTH, ANNA GRACE SENTER (RDH, MPH)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:GRACE SENTER
Last Name:WILMOTH
Suffix:
Gender:F
Credentials:RDH, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621-0004
Mailing Address - Country:US
Mailing Address - Phone:336-366-0411
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 4
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-0004
Practice Address - Country:US
Practice Address - Phone:336-366-0411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13414124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist