Organization
ERIC J. SADLER, DDS AND ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JEROD SADLER D.D.S. (DENTIST/OWNER)
(336) 272-0132
Entity
Organization
Contact information
Practice address
1037 HOMELAND AVE, GREENSBORO, NC 27405-7003
(336) 272-0132
(336) 272-3644
Mailing address
1037 HOMELAND AVE, GREENSBORO, NC 27405-7003
(336) 272-0132
(336) 272-3644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7481
NC
1223G0001X
General Practice Dentistry
Primary
7481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902FK
—
NC
05
—
8995840
—
NC
01
—
902FK
BLUE CROSS BLUE SHIELD
—
01
—
95840
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/11/2011
Last updated
04/11/2011
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