Provider Demographics
NPI:1437784113
Name:JENNIFER ALSTON-SAKO, DDS P.C.
Entity Type:Organization
Organization Name:JENNIFER ALSTON-SAKO, DDS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSTON-SAKO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-586-5894
Mailing Address - Street 1:819 OLE TURNPIKE DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-2409
Mailing Address - Country:US
Mailing Address - Phone:540-586-5894
Mailing Address - Fax:
Practice Address - Street 1:819 OLE TURNPIKE DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-2409
Practice Address - Country:US
Practice Address - Phone:540-586-5894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty