person
Jerry Sanders, DDS
Pediatric Dentist in Fayetteville, Arkansas
NPI 1568521755

Jerry Sanders is a Pediatric Dentist based in Fayetteville, AR and is specialized in Pediatric Dentistry. Jerry Sanders practices in Fayetteville, AR and has the professional credentials of DDS. The NPI Number for Jerry Sanders is 1568521755 and holds a License No. 3424 (Arkansas).

The current practice location address for Jerry Sanders is 1607 E Rainforest Dr, Fayetteville, AR and can be reached out via phone at 479-582-0600 and via fax at 479-443-4630. You can also correspond with Jerry Sanders through the mailing address at 1607 E RAINFOREST DR, FAYETTEVILLE, AR - 72703-5385 (mailing address contact number: 479-582-0600).

Location: 1607 E Rainforest Dr, Fayetteville, AR, 72703-5385
person
Provider Profile Details
NPI Number
1568521755
Provider Name
Jerry Sanders
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1607 E Rainforest Dr, Fayetteville, AR, 72703-5385
Phone Number
479-582-0600
Fax Number
479-443-4630
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1400699 01 AR UCCI
5X368 01 AR BCBS
149537608 05 AR
3424 01 AR DELTA DENTAL
institution
Provider Business Practice Location Address Details
Address
1607 E Rainforest Dr
City
State
Zip
72703-5385
Phone Number
479-582-0600
Fax Number
479-443-4630
person
Provider Business Mailing Address Details
Address
1607 E Rainforest Dr
City
State
Zip
72703-5385
Phone Number
479-582-0600
Fax Number
479-443-4630
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3424 (Arkansas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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