Provider Demographics
NPI:1841492063
Name:SAUNDERS, ROBERT O'NEAL (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:O'NEAL
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 1:631 SAINT ANNE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-4693
Mailing Address - Country:US
Mailing Address - Phone:605-343-6003
Mailing Address - Fax:605-342-0998
Practice Address - Street 1:631 SAINT ANNE ST STE 105
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-4693
Practice Address - Country:US
Practice Address - Phone:605-343-6003
Practice Address - Fax:605-342-0998
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDD06141223G0001X
SDDO6141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice