Provider Demographics
NPI:1699869677
Name:OLIVERIO, SARAH MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARIE
Last Name:OLIVERIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16866 FULTON RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44645-9712
Mailing Address - Country:US
Mailing Address - Phone:330-855-6945
Mailing Address - Fax:330-658-6883
Practice Address - Street 1:275 E WATERLOO RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-1238
Practice Address - Country:US
Practice Address - Phone:330-773-7282
Practice Address - Fax:330-773-7114
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300221741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice