Dr. John R Saunderson
Oral and Maxillofacial Surgeon
2801 Waterman Blvd 240
Fairfield
, California 94534-2987
Dr. John R Saunderson
Oral and Maxillofacial Surgeon
2801 Waterman Blvd 240
Fairfield
, California 94534-2987
(707) 421-8126
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. John R Saunderson
- 2801 Waterman Blvd 240
- Fairfield, CA
- Zip : 94534
- Fax : (707) 421-8126
- Phone : (707) 421-9466
Second Address
- Dr. John R Saunderson
- 2801 Waterman Blvd 240
- Fairfield, CA
- Zip : 94534-2987
- Fax : (707) 428-1922
- Phone : (707) 428-5427
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 035166 | CA |
National Provider Identifier
| NPI | 1063558054 |
|---|---|
| Provider Name | Dr. John R Saunderson |
| First Address | Fairfield, CA 94534 |
| Second Address | Fairfield, CA 94534-2987 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T89165 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.