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NPI Code Detail

MEDICARE: DR. CHARLES F SANDERS JR. DDS

MEDICARE:  DR. CHARLES F SANDERS JR. DDS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry5025MD

General Provider Information

NPI Number : 1760608046
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES F SANDERS JR. DDS
Provider Business Mailing Address
First Line : 15209 WINSTEAD LN
Second Line :
City : SILVER SPRING
State : MD
Zip : 20905-5737
Country : US
Telephone Number : 301-384-8962
Fax Number :
Provider Business Practice Location Address
First Line : 8380 COLESVILLE RD
Second Line : SUITE 750
City : SILVER SPRING
State : MD
Zip : 20910-6255
Country : US
Telephone Number : 301-585-0405
Fax Number : 301-585-0512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CHARLES F SANDERS JR. DDS” Practice Location

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