Provider Demographics
NPI:1386892008
Name:SAYOC, ANA MELISSA ESCOBAR (DMD)
Entity type:Individual
Prefix:
First Name:ANA MELISSA
Middle Name:ESCOBAR
Last Name:SAYOC
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2938 COHANSEY DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-1618
Mailing Address - Country:US
Mailing Address - Phone:408-667-6170
Mailing Address - Fax:
Practice Address - Street 1:5651 SNELL AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3328
Practice Address - Country:US
Practice Address - Phone:408-362-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA547541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice