Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | A93976 | CA |
N | 1223S0112X | Oral and Maxillofacial Surgeon | DS031505-L | PA |
N | 1223S0112X | Oral and Maxillofacial Surgeon | MD433912 | PA |
N | 1223S0112X | Oral and Maxillofacial Surgeon | OMS 66 | CA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | DS031505L | PA |
NPI | 1336222389 |
---|---|
Provider Name | Dr. Sarah Demarco Davies |
First Address | Pittsburgh, PA 15206-3710 |
Second Address | Pittsburgh, PA 15206-3710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 13/08/2019 |