Healthcare Provider Details

I. General information

NPI: 1366402547
Provider Name (Legal Business Name): FRANK SANCHEZ JR. DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRANCISCO SANCHEZ

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 08/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3385 S HWY 17/92
CASSELBERRY FL
32707-2933
US

IV. Provider business mailing address

4064 GILDER ROSE PL
WINTER PARK FL
32792-9416
US

V. Phone/Fax

Practice location:
  • Phone: 407-831-2255
  • Fax:
Mailing address:
  • Phone: 407-671-9945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN11689
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: