Provider Demographics
NPI:1467709808
Name:ALBERTO L SAENZ, DMD, PA
Entity Type:Organization
Organization Name:ALBERTO L SAENZ, DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:803-259-3497
Mailing Address - Street 1:733 REYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:BARNWELL
Mailing Address - State:SC
Mailing Address - Zip Code:29812-1521
Mailing Address - Country:US
Mailing Address - Phone:803-259-3497
Mailing Address - Fax:803-259-5921
Practice Address - Street 1:733 REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:BARNWELL
Practice Address - State:SC
Practice Address - Zip Code:29812-1521
Practice Address - Country:US
Practice Address - Phone:803-259-3497
Practice Address - Fax:803-259-5921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty