Sanford I Wax DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11565 Issued in MO

Legal business name

SANFORD I WAX DDS PC

Doing business as

DBA Claymont Dental Care Inc

Practice address

14897 Clayton Rd
Chesterfield, MO 63017

Phone

(636) 227-1161

Fax

(636) 227-1161

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sanford I Wax, DDSNPI 1669546420

Title

President Dentist Owner

Phone

(636) 227-1161

Specialties & licenses 1

Addresses

Other names 1

• DBA Claymont Dental Care Inc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sanford I Wax, DDS

  • General Practice Dentistry
  • Chesterfield, MO
  • NPI 1669546420
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184798951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14897 CLAYTON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "636-227-1161",
            "fax_number": "636-227-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14897 CLAYTON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "636-227-1161",
            "fax_number": "636-227-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD I WAX DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAX",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT  DENTIST OWNER",
        "authorized_official_telephone_number": "636-227-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Claymont Dental Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lawrence E Samuels, M.D.
• Manuel Fernando Sanchez, MD
• Jennifer Lynn Sanford, MD
• Opeoluwa Sangoseni, MD
• Sanjay T. Bhat M.D P.C.
• Deniz Sarhaddi, M.D.
• Ladan Sarmadi

• General Practice Dentistry in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.