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General NPI Number Information
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NPI Number | 1821543182
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Entity Type | Individual
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Provider Name | MICHAEL BRIAN SANDERS D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 415 W ROCKRIMMON BLVD STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-1773
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Country | US
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Telephone | 719-598-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 415 W ROCKRIMMON BLVD STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-1773
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Country | US
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Telephone | 719-598-7700
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9835403-9922
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN015218
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DD5086
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DEN.00206129
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License Number State | CO
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