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NPI Code Detail

MEDICARE: DR. JAMIE NICOLE SANDERS DDS

MEDICARE: DR. JAMIE NICOLE SANDERS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistD010102AZ

General Provider Information

NPI Number : 1285120410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE NICOLE SANDERS DDS
Provider Business Mailing Address
First Line : 9150 W INDIAN SCHOOL RD STE 106
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-0907
Country : US
Telephone Number : 623-877-7800
Fax Number :
Provider Business Practice Location Address
First Line : 9150 W INDIAN SCHOOL RD STE 106
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-2385
Country : US
Telephone Number : 623-877-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2018
Last Update Date : 07/08/2023

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