Provider Demographics
NPI:1912094921
Name:SANCHEZ-HERNANDEZ, OLGA M (DMD, MS, MS)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:M
Last Name:SANCHEZ-HERNANDEZ
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Gender:F
Credentials:DMD, MS, MS
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Mailing Address - Street 1:4764 EASTERN VALLEY RD
Mailing Address - Street 2:SUITE 104-106
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-3469
Mailing Address - Country:US
Mailing Address - Phone:205-477-8004
Mailing Address - Fax:205-477-8214
Practice Address - Street 1:4764 EASTERN VALLEY RD
Practice Address - Street 2:SUITE 104-106
Practice Address - City:MC CALLA
Practice Address - State:AL
Practice Address - Zip Code:35111-3469
Practice Address - Country:US
Practice Address - Phone:205-477-8004
Practice Address - Fax:205-477-8214
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL49561223P0221X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223P0221XDental ProvidersDentistPediatric Dentistry
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51523968OtherBCBS OF AL
AL1364757OtherUNITED CONCORDIA