Provider Demographics
NPI:1851478416
Name:SAUNDERS, PAUL LAWRENCE (DDS)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:LAWRENCE
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 1:3422 PUMP ROAD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1111
Mailing Address - Country:US
Mailing Address - Phone:804-364-0909
Mailing Address - Fax:804-364-1202
Practice Address - Street 1:3422 PUMP ROAD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1111
Practice Address - Country:US
Practice Address - Phone:804-364-0909
Practice Address - Fax:804-364-1202
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006356122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist