MEDICARE: DR. SARAH DEMARCO DAVIES DDS, MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	MD433912	PA
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	OMS 66	CA
3	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	DS031505L	PA
4	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DS031505-L	PA
5	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	A93976	CA

General Provider Information

NPI Number	:	1336222389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH DEMARCO DAVIES DDS, MD

Provider Business Mailing Address
First Line	:	5820 CENTRE AVE STE 200
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3710
Country	:	US
Telephone Number	:	412-661-7690
Fax Number	:	412-661-7695

Provider Business Practice Location Address
First Line	:	301 E 1ST AVE STE A
Second Line	:
City	:	TARENTUM
State	:	PA
Zip	:	15084-1858
Country	:	US
Telephone Number	:	724-224-4463
Fax Number	:	724-224-8041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	11/22/2024

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