Provider Demographics
NPI:1760549133
Name:SANCHEZ, ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
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 1:243 W CANYON DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-7719
Mailing Address - Country:US
Mailing Address - Phone:715-381-9710
Mailing Address - Fax:715-381-9728
Practice Address - Street 1:131 CARMICHAEL RD
Practice Address - Street 2:SUITE 203
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-8269
Practice Address - Country:US
Practice Address - Phone:715-381-9710
Practice Address - Fax:715-381-9728
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice