1942514138 NPI number — MRS. SARAH MARIE RAYMOND DDS

Table of content: MRS. SARAH MARIE RAYMOND DDS (NPI 1942514138)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942514138 NPI number — MRS. SARAH MARIE RAYMOND DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAYMOND
Provider First Name:
SARAH
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RAYMOND TRAMMELL
Provider Other First Name:
SARAH
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1942514138
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 E. MAIN ST.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THURMONT
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21788
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-271-2346
Provider Business Mailing Address Fax Number:
301-271-4412

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 E. MAIN ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THURMONT
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-271-2346
Provider Business Practice Location Address Fax Number:
301-271-4412
Provider Enumeration Date:
07/30/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  14550 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223G0001X , with the licence number: 14550 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 14550 . This is a "MARYLAND DENTAL LICENSE NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com