Provider Demographics
NPI:1407252760
Name:SAUNDERS, RICHARD DEON (DDS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:DEON
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 N HARRISON BLVD
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404-4178
Mailing Address - Country:US
Mailing Address - Phone:801-394-9488
Mailing Address - Fax:801-394-9488
Practice Address - Street 1:165 N HARRISON BLVD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84404-4178
Practice Address - Country:US
Practice Address - Phone:801-394-9488
Practice Address - Fax:801-394-9488
Is Sole Proprietor?:No
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT141060-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice