Basic Information
| Provider Information | |||||||||
| NPI: | 1275828287 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORIARTY | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | CATHERINE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DDS, MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 160 ERFORD RD | ||||||||
| Address2: | #307 | ||||||||
| City: | CAMP HILL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170111854 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3042838570 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 12520 PROSPERITY DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209041664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019898994 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2011 | ||||||||
| LastUpdateDate: | 02/17/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223P0221X | 15017 | MD | Y | Dental Providers | Dentist | Pediatric Dentistry |
No ID Information.