Provider Demographics
NPI:1982813440
Name:SAUNDERS & ANDERSON DDS PC
Entity Type:Organization
Organization Name:SAUNDERS & ANDERSON DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-342-3939
Mailing Address - Street 1:3712 CANYON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-3198
Mailing Address - Country:US
Mailing Address - Phone:605-342-3939
Mailing Address - Fax:
Practice Address - Street 1:3712 CANYON LAKE DR
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-3198
Practice Address - Country:US
Practice Address - Phone:605-342-3939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDDO6141223G0001X
SDDO6161223G0001X
SDM4931223G0001X
SDM3661223G0001X
SD177124Q00000X
SD646124Q00000X
SD1084124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Not Answered124Q00000XDental ProvidersDental HygienistGroup - Single Specialty