Provider Demographics
NPI:1659383016
Name:SAENZ, DANIEL D (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:SAENZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 GRANDVIEW PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5403
Mailing Address - Country:US
Mailing Address - Phone:210-826-4118
Mailing Address - Fax:210-826-2022
Practice Address - Street 1:2515 PLEASANTON RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1506
Practice Address - Country:US
Practice Address - Phone:210-922-5401
Practice Address - Fax:210-923-2441
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
D13566OtherBCBS
829389OtherUNITED CONCORDIA