Individual
DR. JAMES LESTER SANDERSON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1633 MONTGOMERY HWY, STE 5, HOOVER, AL 35216-4916
(205) 979-6005
Mailing address
1633 MONTGOMERY HWY, STE 5, HOOVER, AL 35216-4916
(205) 979-6005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3968
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3968
STATE LICENSE NUMBER
AL
Enumeration date
06/06/2006
Last updated
07/09/2007
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