Provider Demographics
NPI:1003943911
Name:SANDERS, WILLIAM RANDALL JR (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RANDALL
Last Name:SANDERS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:412 OSWEGO CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-4758
Mailing Address - Country:US
Mailing Address - Phone:303-337-2794
Mailing Address - Fax:303-337-2848
Practice Address - Street 1:3100 S PARKER RD
Practice Address - Street 2:SUITE 103
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-6217
Practice Address - Country:US
Practice Address - Phone:303-337-2794
Practice Address - Fax:303-337-2848
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO41001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice