Provider Demographics
NPI:1598829046
Name:SAINDON & SAINDON FAMILY DENTISTRY INC
Entity Type:Organization
Organization Name:SAINDON & SAINDON FAMILY DENTISTRY INC
Other - Org Name:SAINDON & SAINDON FAMILY DENTISTRY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAINDON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:606-679-9289
Mailing Address - Street 1:501 COLLEGE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501
Mailing Address - Country:US
Mailing Address - Phone:606-679-9289
Mailing Address - Fax:606-679-9289
Practice Address - Street 1:501 COLLEGE ST
Practice Address - Street 2:SUITE A
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501
Practice Address - Country:US
Practice Address - Phone:606-679-9289
Practice Address - Fax:606-679-9289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY61942538Medicaid
KY456184280OtherMEDICAID ESPDT