Provider Demographics
NPI:1831289537
Name:J RAWLS SAECKER DDS PC
Entity Type:Organization
Organization Name:J RAWLS SAECKER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:J
Authorized Official - Middle Name:RAWLS
Authorized Official - Last Name:SAECKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-787-4425
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:ACCOMAC
Mailing Address - State:VA
Mailing Address - Zip Code:23301
Mailing Address - Country:US
Mailing Address - Phone:757-787-4425
Mailing Address - Fax:757-787-8770
Practice Address - Street 1:23185 FRONT ST
Practice Address - Street 2:
Practice Address - City:ACCOMAC
Practice Address - State:VA
Practice Address - Zip Code:23301
Practice Address - Country:US
Practice Address - Phone:757-787-4425
Practice Address - Fax:757-787-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty