| J Joseph Sanders Ii Dmd Pc | |
|
805 16th Ave Conway SC 29526 | |
| (843) 248-3612 | |
| (843) 488-0624 |
| Full Name | J Joseph Sanders Ii Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 805 16th Ave, Conway, South Carolina |
| Authorized Official Name and Position | James Joseph Sanders (DENTIST) |
| Authorized Official Contact | 8432483612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Joseph Sanders Ii Dmd Pc 805 16th Ave Conway SC 29526 Ph: (843) 248-3612 | J Joseph Sanders Ii Dmd Pc 805 16th Ave Conway SC 29526 Ph: (843) 248-3612 |
| NPI Number | 1790852762 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790852762 | NPI | - | NPPES |
| Z2881 | Medicaid | SC | |
| ZA9515 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2888 (South Carolina) | Primary |
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