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Contact Information

JAMES J SANDERS II, DMD
805 16TH AVE
CONWAY, SC29526
 Phone: 843-248-3612
 Fax: 843-488-0624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JAMES J SANDERS II · (Male)

NPI Number 1366483398
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 28881
  • SC Medicaid Z28881
  • SC Medicaid ZA9515
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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