Healthcare Provider Details

I. General information

NPI: 1356500797
Provider Name (Legal Business Name): ELIANA SANCHEZ DDS.,MS.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2008
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W 12TH AVE 4TH FLOOR DFP
COLUMBUS OH
43210-1267
US

IV. Provider business mailing address

2700 MARTIN LUTHER KING JR BLVD
DETROIT MI
48208-2576
US

V. Phone/Fax

Practice location:
  • Phone: 614-688-8095
  • Fax: 614-292-8013
Mailing address:
  • Phone: 313-494-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number71-000-192
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2952000464
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: