Individual provider · Type 1 NPI

Jerrod Lynn Sanders, DDS

Prosthodontics · Fort Campbell, KY

NPI number 1245200104 Active

Practice location

5979 Desert Storm Ave
Fort Campbell, KY 42223-5514

Call (270) 412-8563 Map

Mailing address

9900 Lincon St Fl 2, Hqs Usa Dentac
Joint Base Lewis Mcchord, WA 98431-0001

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X0021321 (TX)
Prosthodontics Primary 1223P0700X21321 (TX)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1245200104

Jerrod Lynn Sanders, DDS's National Provider Identifier is 1245200104, issued on Jan 24, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Fort Campbell, KY. The record was last updated on Mar 27, 2023.