DR. JILL ELISABETH SANDERS DDS NPI 1417927377

NPI Information

  • NPI: 1417927377
  • Provider Name: DR. JILL ELISABETH SANDERS, DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 5979 DESERT STORM AVE
    FORT CAMPBELL, KY
    ZIP 42223
  • Phone: (270) 412-2787

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NPI Details

DR. Jill Elisabeth Sanders, DDS is a periodontics dentist in Fort Campbell, KY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Jill Elisabeth Sanders, DDS NPI is 1417927377. 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:

5979 DESERT STORM AVE
FORT CAMPBELL, KY
ZIP 42223-514
Phone: (270) 412-2787

The enumeration date for this NPI number is 1/24/2006 and was last updated on 3/15/2023.

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
1122300000XDentist0021322TEXASNo
21223P0300XDentistPeriodontics21322TEXASYes

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: 11/21/2025

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