Provider Demographics
NPI:1538733944
Name:SANCHEZ JUAN, HUGO ENRIQUE (DMD)
Entity type:Individual
Prefix:DR
First Name:HUGO
Middle Name:ENRIQUE
Last Name:SANCHEZ JUAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 NICHOLASVILLE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1493
Mailing Address - Country:US
Mailing Address - Phone:859-278-0085
Mailing Address - Fax:844-270-7010
Practice Address - Street 1:1640 NICHOLASVILLE RD STE 103
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1493
Practice Address - Country:US
Practice Address - Phone:859-278-0085
Practice Address - Fax:844-270-7010
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY106041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice