# JOHN SANDERSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN SANDERSON
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457769481
- **Legal business name:** JOHN SANDERSON
- **Authorized official:** JOHN SANDERSON DDS (OWNER)
- **Authorized official phone:** (701) 584-2580

## Contact information

- **Practice address:** 306 N MAIN ST, ELGIN, ND 58533-7108
- **Practice address phone:** (701) 584-2580
- **Mailing address:** 306 N MAIN ST, ELGIN, ND 58533-7108
- **Mailing address phone:** (701) 584-2580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1600 | ND | Yes |

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 07/22/2014