Provider Demographics
NPI:1902946502
Name:SAUNDERS, JOHN FLOYD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FLOYD
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 1:3561 OLD ONSLOW RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-7829
Mailing Address - Country:US
Mailing Address - Phone:336-852-9490
Mailing Address - Fax:
Practice Address - Street 1:1011 W FRIENDLY AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1862
Practice Address - Country:US
Practice Address - Phone:336-378-1071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8997587Medicaid