J. Clarke Sanders, DDS-Reynoldsburg LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30017563 Issued in OH

Legal business name

J. CLARKE SANDERS, DDS-REYNOLDSBURG LLC

Doing business as

East Side Family Dental

Practice address

6100 E Main St
Suite 100
Columbus, OH 43213-3399

Phone

(614) 759-1800

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Clarke Sanders, DDS

Title

Owner

Phone

(614) 759-1800

Specialties & licenses 1

Addresses

Other names 1

• East Side Family Dental Doing business as

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1215163423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133399",
            "telephone_number": "614-759-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133399",
            "telephone_number": "614-759-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CLARKE SANDERS, DDS-REYNOLDSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLARKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-759-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30017563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Side Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.