Healthcare Provider Details

I. General information

NPI: 1619181526
Provider Name (Legal Business Name): ADAM SARNOWSKI D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8410 DATAPOINT DR
SAN ANTONIO TX
78229-3220
US

IV. Provider business mailing address

8655 DATAPOINT DR APT 509
SAN ANTONIO TX
78229-3263
US

V. Phone/Fax

Practice location:
  • Phone: 210-949-8900
  • Fax: 210-949-8901
Mailing address:
  • Phone: 352-870-5558
  • Fax: 210-949-8901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN17565
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: