DR. KYLE T SANDERS DDS NPI 1598735730

NPI Information

NPI: 1598735730
Provider Name: DR. KYLE T SANDERS, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
3664 CLUB DR
SUITE 105
LAWRENCEVILLE, GA
ZIP 30044
Phone: (770) 279-7987
Get Directions

DR. Kyle T Sanders, DDS is a pediatric dentistry dentist in Lawrenceville, GA. The provider is 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. DR. Kyle T Sanders, DDS NPI is 1598735730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3664 CLUB DR
SUITE 105
LAWRENCEVILLE, GA
ZIP 30044-961
Phone: (770) 279-7987
Fax: (770) 279-8951

The enumeration date for this NPI number is 1/23/2006 and was last updated on 10/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		11929	GEORGIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	25056	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000842135F	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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