Provider Demographics
NPI:1144465733
Name:SANCHEZ DENTISTRY PA
Entity type:Organization
Organization Name:SANCHEZ DENTISTRY PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-313-9168
Mailing Address - Street 1:8601 HUEBNER RD
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1838
Mailing Address - Country:US
Mailing Address - Phone:210-281-5682
Mailing Address - Fax:
Practice Address - Street 1:8601 HUEBNER RD
Practice Address - Street 2:SUITE # 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1838
Practice Address - Country:US
Practice Address - Phone:210-281-5682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty