Provider Demographics
NPI:1861501504
Name:SAINDON, JAMES LAWRENCE (DMD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LAWRENCE
Last Name:SAINDON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 COLLEGE STREET
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 STREET
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
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY63521223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60063526Medicaid
KY61942538Medicaid