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NPI Code Detail

MEDICARE: DR. OWEN K SANDERS DMD

MEDICARE:  DR. OWEN K SANDERS  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist57204CA
2122300000XDentist5937NV
3122300000XDentist00201966CO

General Provider Information

NPI Number : 1033373576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OWEN K SANDERS DMD
Provider Business Mailing Address
First Line : 1220 OAK PARK DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-7302
Country : US
Telephone Number : 970-223-8687
Fax Number : 970-225-1574
Provider Business Practice Location Address
First Line : 1220 OAK PARK DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-7302
Country : US
Telephone Number : 970-223-8687
Fax Number : 970-225-1574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2008
Last Update Date : 07/01/2013

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Directions to “ DR. OWEN K SANDERS DMD” Practice Location

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