Individual
DR. ROBERT E SANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2112 LYNNGATE DR, HOOVER, AL 35216-5244
(205) 822-0155
(205) 978-5514
Mailing address
2112 LYNNGATE DR, HOOVER, AL 35216-5244
(205) 822-0155
(205) 978-5514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4019
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
744843
UNITED CONCORDIA
PA
01
—
90712
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/19/2006
Last updated
07/08/2007
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