Provider Demographics
NPI:1942892179
Name:JOHN SANDS D.M.D, P.L.L.C.
Entity Type:Organization
Organization Name:JOHN SANDS D.M.D, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:518-275-7175
Mailing Address - Street 1:606 CULMORE DR
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-3805
Mailing Address - Country:US
Mailing Address - Phone:518-275-7175
Mailing Address - Fax:
Practice Address - Street 1:912 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2645
Practice Address - Country:US
Practice Address - Phone:919-693-7999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental