Provider Demographics
NPI:1093922783
Name:ADRIAN A SANCHEZ DDS PA
Entity Type:Organization
Organization Name:ADRIAN A SANCHEZ DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF DENTAL PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-247-4748
Mailing Address - Street 1:817 MAIDEN CHOICE LANE
Mailing Address - Street 2:STE 220
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228
Mailing Address - Country:US
Mailing Address - Phone:410-247-4748
Mailing Address - Fax:410-247-4782
Practice Address - Street 1:817 MAIDEN CHOICE LANE
Practice Address - Street 2:STE 220
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228
Practice Address - Country:US
Practice Address - Phone:410-247-4748
Practice Address - Fax:410-247-4782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD98311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty