Provider Demographics
NPI:1306183371
Name:SANCHEZ, DINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:STAPPERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:650 W BALTIMORE ST
Mailing Address - Street 2:3RD FLOOR, DEPARTENT OF ORTHODONTICS
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1510
Mailing Address - Country:US
Mailing Address - Phone:410-706-7908
Mailing Address - Fax:410-706-7745
Practice Address - Street 1:650 W BALTIMORE ST
Practice Address - Street 2:4TH FLOOR, FACULTY PRACTICE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1510
Practice Address - Country:US
Practice Address - Phone:410-706-7961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLL6371223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics