Provider Demographics
NPI:1770076291
Name:DOLBIK, ALIAKSANDR (DDS)
Entity type:Individual
Prefix:DR
First Name:ALIAKSANDR
Middle Name:
Last Name:DOLBIK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ALEXANDER
Other - Middle Name:
Other - Last Name:DOLBIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4000 HORIZON HILL BLVD APT 1710
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-2225
Mailing Address - Country:US
Mailing Address - Phone:210-574-1776
Mailing Address - Fax:
Practice Address - Street 1:9820 POTRANCO RD STE 106
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-9627
Practice Address - Country:US
Practice Address - Phone:210-298-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-09
Last Update Date:2018-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340611223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice