Individual
TED HADLEY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9220-1 BEACH DR SW, CALABASH, NC 28467
(910) 579-0464
(910) 575-2246
Mailing address
PO BOX 4758, CALABASH, NC 28467
(910) 579-0464
(910) 575-2249
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5050
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97558
BCBS NC
NC
Enumeration date
08/21/2006
Last updated
07/08/2007
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