Provider Demographics
NPI:1942514138
Name:RAYMOND, SARAH MARIE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MARIE
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:RAYMOND TRAMMELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:105 E. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:THURMONT
Mailing Address - State:MD
Mailing Address - Zip Code:21788
Mailing Address - Country:US
Mailing Address - Phone:301-271-2346
Mailing Address - Fax:301-271-4412
Practice Address - Street 1:105 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:THURMONT
Practice Address - State:MD
Practice Address - Zip Code:21788
Practice Address - Country:US
Practice Address - Phone:301-271-2346
Practice Address - Fax:301-271-4412
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14550122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD14550OtherMARYLAND DENTAL LICENSE NUMBER