Provider Demographics
NPI:1871684159
Name:SANCHEZ, JAYNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAYNE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SAINT ANN DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-3418
Mailing Address - Country:US
Mailing Address - Phone:985-727-2300
Mailing Address - Fax:985-727-2370
Practice Address - Street 1:2 SAINT ANN DR
Practice Address - Street 2:SUITE 5
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-3418
Practice Address - Country:US
Practice Address - Phone:985-727-2300
Practice Address - Fax:985-727-2370
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA50591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice