Individual provider · Type 1 NPI

Timothy Sanders, D.D.S

Orthodontics and Dentofacial Orthopedics Dentistry · Lake Forest, IL

NPI number 1912221763 Active

Practice location

950 N Western Ave
Lake Forest, IL 60045-1742

Fax (847) 234-0568

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X091001682 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X091001682 (IL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1912221763

Timothy Sanders, D.D.S's National Provider Identifier is 1912221763, issued on Mar 23, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lake Forest, IL. The record was last updated on Mar 23, 2010.