Provider Demographics
NPI:1437748449
Name:SARAH PITARRA, DDS, PLLC
Entity Type:Organization
Organization Name:SARAH PITARRA, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PITARRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:361-855-7171
Mailing Address - Street 1:4758 MCARDLE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4439
Mailing Address - Country:US
Mailing Address - Phone:361-855-7171
Mailing Address - Fax:361-855-9223
Practice Address - Street 1:4758 MCARDLE RD STE 104
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4439
Practice Address - Country:US
Practice Address - Phone:361-855-7171
Practice Address - Fax:361-855-9223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental