# CLAYTON A SANDERS, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588914279
- **Authorized official:** CLAYTON A SANDERS DDS (OWNER)
- **Authorized official phone:** (828) 692-3933

## Contact information

- **Practice address:** 687 BLYTHE STREET CT STE A, HENDERSONVILLE, NC 28739-4054
- **Practice address phone:** (828) 692-3933
- **Practice address fax:** (828) 692-9946
- **Mailing address:** 687 BLYTHE STREET CT STE A, HENDERSONVILLE, NC 28739-4054
- **Mailing address phone:** (828) 692-3933
- **Mailing address fax:** (828) 692-9946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5746 | NC | Yes |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 09/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000755006 | UNITED CONCORDIA | — |
| 05 | — | 7997556 | — | NC |
| 01 | — | 97556 | BCBS OF NC | NC |