person
Dr. Sanford Jay Fenton, DDS
Pediatric Dentist in Memphis, Tennessee
NPI 1942371695

Sanford Jay Fenton is a Pediatric Dentist based in Cordova, TN and is specialized in Pediatric Dentistry. Sanford Jay Fenton practices in Memphis, TN and has the professional credentials of DDS. The NPI Number for Sanford Jay Fenton is 1942371695 and holds a License No. DS0000007119 (Tennessee).

The current practice location address for Sanford Jay Fenton is 875 Union Ave, Memphis, TN and can be reached out via phone at 901-448-6206 and via fax at 901-448-6249. You can also correspond with Sanford Jay Fenton through the mailing address at 8658 STABLEMILL LN, CORDOVA, TN - 38016-6154 (mailing address contact number: 870-733-3854).

Location: 875 Union Ave, Memphis, TN, 38016-6154
person
Provider Profile Details
NPI Number
1942371695
Provider Name
Sanford Jay Fenton
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
875 Union Ave, Memphis, TN, 38016-6154
Phone Number
901-448-6206
Fax Number
901-448-6249
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005926 01 TN TENNCARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
875 Union Ave
City
State
Zip
38163-0001
Phone Number
901-448-6206
Fax Number
901-448-6249
person
Provider Business Mailing Address Details
Address
8658 Stablemill Ln
City
State
Zip
38016-6154
Phone Number
870-733-3854
Fax Number
870-733-3851
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DS0000007119 (Tennessee)
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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