Healthcare Provider Details

I. General information

NPI: 1912388372
Provider Name (Legal Business Name): SANDRA BROWNING DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SANDRA LEEDY DMD

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 S. VAL VISTA DR. SUITE 209
GILBERT AZ
85297
US

IV. Provider business mailing address

3635 S. VAL VISTA DR. SUITE 209
GILBERT AZ
85297
US

V. Phone/Fax

Practice location:
  • Phone: 480-806-0002
  • Fax: 480-500-8066
Mailing address:
  • Phone: 480-806-0002
  • Fax: 480-500-8066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD9258
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: