Sanders, Samuel Bret

Sanders, Samuel Bret is an sole proprietor health care provider with primary practice located at 1507 Lamy Ln Suite C, Monroe LA 71201-3804. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sanders, Samuel Bret can be contacted via phone (318) 323-9500.

Contact Information

Primary practice address
1507 Lamy Ln Suite C Monroe LA 71201-3804
Fax: (318) 323-9888
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4654 Louisiana

Profile Details

NPI number 1477664100
LBN Legal business name Sanders, Samuel Bret
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477664100 NPPES
Louisiana MEDICAID 1846546

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