John Sanderson

Organization Active NPI Dentist · Elgin, ND

NPI 1457769481 · NPPES record last updated Jul 22, 2014

Key facts

NPI
1457769481
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
1600 (ND)
Legal business name
JOHN SANDERSON
Practice address
306 N Main St
Elgin, ND 58533-7108
Phone
(701) 584-2580
NPI assigned
Jul 22, 2014
Organization subpart
Yes
Parent organization (as reported)
JOHN SANDERSON

Authorized official

Name
John Sanderson, DDS NPI 1043430796
Title
Owner
Phone
(701) 584-2580

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
John Sanderson

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 1600 ND Yes

Addresses

Primary practice location

306 N Main St
Elgin, ND 58533-7108

Mailing address

306 N Main St
Elgin, ND 58533-7108
Phone (701) 584-2580

Other providers in Elgin, ND

All providers in Elgin, ND · Dentist in North Dakota

Sources for this page

Verify at the official NPI Registry.