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General NPI Number Information
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NPI Number | 1942660527
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Entity Type | Individual
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Provider Name | KRISTEN M.W. SANDER D.D.S., M.S.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 105 S ANDOVER RD STE G
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City | ANDOVER
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State | KS
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Zip | 67002-8046
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Country | US
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Telephone | 316-465-0555
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Fax | 316-465-0558
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Provider Business Mailing Address
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Address Line | 105 S ANDOVER RD STE G
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City | ANDOVER
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State | KS
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Zip | 67002-8046
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Country | US
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Telephone | 316-465-0555
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Fax | 316-465-0558
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 61028
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License Number State | KS
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