Provider Demographics
NPI:1811157795
Name:SAUNDERS, CARL EUGENE RICHARDSON (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:EUGENE RICHARDSON
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
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Mailing Address - Street 1:20 PAGE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8847
Mailing Address - Country:US
Mailing Address - Phone:910-295-3762
Mailing Address - Fax:910-295-9753
Practice Address - Street 1:20 PAGE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8847
Practice Address - Country:US
Practice Address - Phone:910-295-3762
Practice Address - Fax:910-295-9753
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2000015218691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics