DR. Jerrod Lynn Sanders, DDS

NPI #1245200104 in Fort Campbell, Kentucky

Provider Information

NPI Number: 1245200104
Entity Type: Individual
Name: DR. Jerrod Lynn Sanders, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Prosthodontics
Credential: DDS
Enumeration Date: Jan 24, 2006
Last Updated: Mar 27, 2023

Practice Location

Address: 5979 DESERT STORM AVE
City: Fort Campbell
State: Kentucky
ZIP Code: 42223-5514
Phone: (270) 412-8563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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