Individual provider · Type 1 NPI
Randy Robert Sanovich, DDS
Oral and Maxillofacial Surgery (Dentist) · Dallas, TX
NPI number
1780815365
Active
Practice location
12740 Hillcrest Rd Ste 100
Dallas, TX 75230-2050
Fax (972) 833-7001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 29514 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
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About NPI 1780815365
Randy Robert Sanovich, DDS's National Provider Identifier is 1780815365, issued on Jul 31, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dallas, TX. The record was last updated on Mar 23, 2019.