Provider Demographics
NPI:1396958328
Name:SAUNDERS, HOWARD BRADY (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:BRADY
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:HOWARD
Other - Middle Name:BRADY
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 526
Mailing Address - Street 2:205 WEST BURNETTE ST.
Mailing Address - City:PINETOPS
Mailing Address - State:NC
Mailing Address - Zip Code:27864-0526
Mailing Address - Country:US
Mailing Address - Phone:252-827-4028
Mailing Address - Fax:252-827-4028
Practice Address - Street 1:205 WEST BURNETTE ST.
Practice Address - Street 2:205 WEST BURNETTE ST.
Practice Address - City:PINETOPS
Practice Address - State:NC
Practice Address - Zip Code:27864-0526
Practice Address - Country:US
Practice Address - Phone:252-827-4028
Practice Address - Fax:252-827-4028
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC44491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8997586Medicaid
NC97586OtherBCBS
NC8997586Medicaid