ANDREINA JOSEFINA SANANEZ (NPI# 1104054816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104054816 |
| Entity Type | Individual |
| Full Name | ANDREINA JOSEFINA SANANEZ |
| Credential | D.D.S |
| Practice Address |
1120 15th St Oral Rehabilitation Dept. Gc-4222 Augusta GA 30912-0004 |
| Practice Telephone | 7067212881 |
| Mailing Telephone | 7067212881 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2013-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DNF000375 | GA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | S-720 | LA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | GA | Student, Health Care |
| Street Address |
1120 15TH ST ORAL REHABILITATION DEPT. GC-4222 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265815997 | Fadi Al Farawati | Dentist | Au Dental Associates 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0415 | 2015-06-30 |
| 1467693952 | Cathy J Smith | Dentist | 4469 Columbia Rd Ste E, Augusta, GA 30907-4572 | 2009-03-13 |
| 1306068192 | Kent Knoernschild | Dentist | 1120 15th Street, Gc-4200, Augusta, GA 30912 | 2007-05-03 |
| 1801226931 | Ahmed Morsy Elsayed Zaher | Dentist | 1430 John Wesley Gilbert Drive, Faculty Practice (gru School of Dentistry), Augusta, GA 30912 | 2013-11-27 |
| 1053672022 | Jae Seon Kim | Dentist | 1430 John Wesley Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 | 2012-06-06 |
| 1215232103 | Abdulmohsin H Alhashim | Dentist | 1430 John Wesley Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 | 2011-01-24 |
| 1326352162 | Darshanjit Singh Pannu | Dentist | 1459 Laney Walker Blvd, Ad-1119, Augusta, GA 30912-0002 | 2010-08-04 |
| 1982859203 | Eduardo E Britton | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0004 | 2008-12-01 |
| 1225294408 | Jimmy Londono | Dentist | 1459 Laney Walker Blvd, Ad-1500, Augusta, GA 30912-0002 | 2008-08-06 |
| 1194944645 | Gerard Jules Chiche | Dentist | 1430 John Wesley Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 | 2007-04-24 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on ANDREINA JOSEFINA SANANEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.