Provider Demographics
NPI:1659599876
Name:SANCHEZ, JOSE ANTONIO (DDS)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:ANTONIO
Last Name:SANCHEZ
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 1:2910 W MAIN ST
Mailing Address - Street 2:STE. B
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5731
Mailing Address - Country:US
Mailing Address - Phone:559-734-1121
Mailing Address - Fax:559-734-9554
Practice Address - Street 1:2910 W MAIN ST
Practice Address - Street 2:STE. B
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5731
Practice Address - Country:US
Practice Address - Phone:559-734-1121
Practice Address - Fax:559-734-9554
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA427691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice