Provider Demographics
NPI:1922640648
Name:DENTAL ARTISANS OF RIVERSTONE
Entity Type:Organization
Organization Name:DENTAL ARTISANS OF RIVERSTONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:ALINEZ
Authorized Official - Last Name:DAVIS-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-440-1040
Mailing Address - Street 1:4706 RIVERSTONE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4720
Mailing Address - Country:US
Mailing Address - Phone:281-261-0020
Mailing Address - Fax:281-261-0024
Practice Address - Street 1:4706 RIVERSTONE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4720
Practice Address - Country:US
Practice Address - Phone:832-440-1040
Practice Address - Fax:832-440-1041
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIANCA A DAVIS - SANCHEZ, DDS, MS, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-14
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty