Provider Demographics
NPI:1932547494
Name:PITARRA, SARAH DENISE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:DENISE
Last Name:PITARRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4758 MCARDLE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2509
Mailing Address - Country:US
Mailing Address - Phone:361-855-7171
Mailing Address - Fax:361-855-9223
Practice Address - Street 1:4758 MCARDLE
Practice Address - Street 2:SUITE 104
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-7841
Practice Address - Country:US
Practice Address - Phone:361-855-7171
Practice Address - Fax:361-855-9223
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX289901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice