Healthcare Provider Details

I. General information

NPI: 1275447005
Provider Name (Legal Business Name): JAMIE ELIZABETH SANDS DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12840 RIVERSIDE DR STE 100
STUDIO CITY CA
91607-3335
US

IV. Provider business mailing address

12840 RIVERSIDE DR STE 100
STUDIO CITY CA
91607-3335
US

V. Phone/Fax

Practice location:
  • Phone: 818-766-6767
  • Fax:
Mailing address:
  • Phone: 818-766-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JAMIE E SAND
Title or Position: DOCTOR OWNER
Credential: DDS
Phone: 818-766-6767