Provider Demographics
NPI:1538328281
Name:SAUNDERS, KIP W (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:KIP
Middle Name:W
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GROGANS PARK DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2192
Mailing Address - Country:US
Mailing Address - Phone:281-292-1833
Mailing Address - Fax:281-292-2125
Practice Address - Street 1:3 GROGANS PARK DR
Practice Address - Street 2:SUITE 103
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2192
Practice Address - Country:US
Practice Address - Phone:281-292-1833
Practice Address - Fax:281-292-2125
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-07
Last Update Date:2008-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108721223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics