=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972790400
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. ADAM SAUNDERS DDS PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2007
-----------------------------------------------------
Last Update Date | 02/22/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 901 N WINSTEAD AVE SUITE 110
-----------------------------------------------------
City | ROCKY MOUNT
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27804-8467
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-443-6044
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 901 N WINSTEAD AVE SUITE 110
-----------------------------------------------------
City | ROCKY MOUNT
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27804-8467
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-443-6044
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ADAM SAUNDERS
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 252-917-2108
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 7653
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------