Organization
J JOSEPH SANDERS II DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JOSEPH SANDERS II DMD (DENTIST)
(843) 248-3612
Entity
Organization
Contact information
Practice address
805 16TH AVE, CONWAY, SC 29526
(843) 248-3612
(843) 488-0624
Mailing address
805 16TH AVE, CONWAY, SC 29526
(843) 248-3612
(843) 488-0624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2888
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z2881
—
SC
05
—
ZA9515
—
SC
Enumeration date
11/28/2006
Last updated
07/15/2008
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