J. Clarke Sanders D.D.S. Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

30017563 Issued in OH

Legal business name

J. CLARKE SANDERS D.D.S. INC.

Doing business as

Stonecreek Dental Care

Practice address

11295 Stonecreek Dr
Pickerington, OH 43147-9138

Phone

(614) 864-3196

Fax

(614) 864-3192

NPI assigned

Jul 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Penny S Nunn

Title

Practice Administrator

Phone

(614) 864-3196

Specialties & licenses 1

Addresses

Other names 1

• Stonecreek Dental Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1033318084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11295 STONECREEK DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479138",
            "telephone_number": "614-864-3196",
            "fax_number": "614-864-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11295 STONECREEK DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479138",
            "telephone_number": "614-864-3196",
            "fax_number": "614-864-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CLARKE SANDERS D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "614-864-3196"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30017563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonecreek Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.