Provider Demographics
NPI:1376020149
Name:SANCHEZ, NELCY (DMD)
Entity Type:Individual
Prefix:
First Name:NELCY
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 CROWN KNOLL CIR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-8501
Mailing Address - Country:US
Mailing Address - Phone:954-918-1769
Mailing Address - Fax:
Practice Address - Street 1:1601 E. TRINITY MILLS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CARROLTON
Practice Address - State:TX
Practice Address - Zip Code:75006
Practice Address - Country:US
Practice Address - Phone:469-227-0326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX336901223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000000000OtherN/A