Bret W Sauders DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

16090 Issued in TX

Legal business name

BRET W SAUDERS DDS, INC

Practice address

1600 US Hwy 287 N. #102
Mansfield, TX 76063-2874

Phone

(817) 473-9501

Fax

(817) 473-9508

NPI assigned

Sep 30, 2011

Last updated

Sep 30, 2011By 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

Bret Wayne Sauders, DDS

Title

President

Phone

(817) 473-9501

Specialties & licenses 1

Addresses

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.

• Bret W Sanders, D.D.S.

  • Dentist
  • Mansfield, TX
  • NPI 1861542151
  NPD (past)

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1902180565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2193",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760630039",
            "telephone_number": "817-473-9501",
            "fax_number": "817-473-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 US HWY 287 N. #102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632874",
            "telephone_number": "817-473-9501",
            "fax_number": "817-473-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRET W SAUDERS DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "SAUDERS",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-473-9501",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.