Provider Demographics
NPI:1336222389
Name:DAVIES, SARAH DEMARCO (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:DEMARCO
Last Name:DAVIES
Suffix:
Gender:F
Credentials:DDS, MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:DEMARCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS,MD
Mailing Address - Street 1:5820 CENTRE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3710
Mailing Address - Country:US
Mailing Address - Phone:412-661-7690
Mailing Address - Fax:412-661-7695
Practice Address - Street 1:301 E 1ST AVE STE A
Practice Address - Street 2:
Practice Address - City:TARENTUM
Practice Address - State:PA
Practice Address - Zip Code:15084-1858
Practice Address - Country:US
Practice Address - Phone:724-224-4463
Practice Address - Fax:724-224-8041
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4339121223S0112X
CAOMS 661223S0112X
PADS031505L204E00000X
PADS031505-L1223S0112X
CAA939761223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery