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1407376379 NPI number — JOHN MICHAEL SANDS MD, DDS

NPI Number: 1407376379
Health Care Provider/Practitioner: JOHN MICHAEL SANDS MD, DDS

Information about “1407376379” NPI (JOHN MICHAEL SANDS MD, DDS) exists in 1407376379 in HTML format HTML  |  1407376379 in plain Text format TXT  |  1407376379 in PDF (Portable Document Format) PDF  |  1407376379 in an XML format XML  formats.

NPI Number : 1407376379 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407376379",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SANDS",
    "FirstName": "JOHN",
    "MiddleName": "MICHAEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD, DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1567 QUEEN ESTHER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAYRE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18840-9380",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-438-8303",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 GUTHRIE SQ",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAYRE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18840-1625",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "570-887-2418",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/22/2017",
    "LastUpdateDate": "07/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223S0112X",
          "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
          "LicenseNumber": "DS041890",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "204E00000X",
          "TaxonomyName": "Oral & Maxillofacial Surgery (D.M.D.)",
          "LicenseNumber": "MD481118",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DS041890",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "MD481118",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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