Kyle T Sanders in Lawrenceville - Pediatric Dentistry
Kyle T Sanders - NPI 1598735730
Kyle T Sanders is a Pediatric Dentistry in Lawrenceville, Georgia. Kyle T Sanders practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kyle T Sanders is 1598735730. The last update date is 2009-10-14.
Kyle T Sanders's current location address is 3664 Club Dr, Lawrenceville, Georgia. You can contact this provider via phone number 7702797987 and fax number 7702798951. The mailing address for Kyle T Sanders is 3664 Club Dr, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle T Sanders |
|---|---|
| Address | 3664 Club Dr, Lawrenceville, Georgia |
| Phone Number | 7702797987 |
| Fax Number | 7702798951 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1598735730 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2009-10-14 |
Provider Mailing Address Detail
| Address | 3664 Club Dr |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300442961 |
| Phone Number | 7702797987 |
| Fax Number | 7702798951 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 25056 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000842135F | GA | -- |
Post Comment/ Review Below
What is the Kyle T Sanders's 1598735730?
The Kyle T Sanders's NPI (National Provider Identifier) Number is 1598735730. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kyle T Sanders is physically located?
The Kyle T Sanders is physically situated at the following address: 3664 Club Dr, Lawrenceville, GA, 300442961.
What is Kyle T Sanders's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kyle T Sanders's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did Kyle T Sanders receive its 1598735730 assignment from the Centers for Medicare & Medicaid Services?
The Kyle T Sanders was assigned its 1598735730 on 2006-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kyle T Sanders, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kyle T Sanders, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-10-14.