John Saecker – General Practice Dentistry

Key facts

NPI: 1508283474
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 0401005489 (VA)
Practice address: 23185 Front Street
Accomac, VA 23301
Phone: (757) 787-4425
Fax: (757) 787-8770
NPI assigned: Mar 27, 2014
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

J Rawls Saecker DDS PC General Practice Dentistry · Accomac, VA · NPI 1831289537

NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
0401005489	VA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
J Rawls Saecker DDS PC	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	0401005489	VA	Yes

Addresses

Primary practice location

23185 Front Street
Accomac, VA 23301

Mailing address

PO Box 339
Accomac, VA 23301-0339

Other identifiers

Identifier	Type	State	Issuer
1831289537	Other		ORGANIZATIONAL NPI#

Other providers in Accomac, VA

All providers in Accomac, VA · General Practice Dentistry in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.