MEDICARE: NICK SANDERS DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1033052790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICK SANDERS DDS PLLC

Provider Business Mailing Address
First Line	:	585 ALSTON DR
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37419-3104
Country	:	US
Telephone Number	:	318-381-6823
Fax Number	:

Provider Business Practice Location Address
First Line	:	4109 MOUNTAIN VIEW AVE STE 400
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37415-2096
Country	:	US
Telephone Number	:	423-287-6150
Fax Number	:	423-287-6151

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. NICK SANDERS
Credential	:	DDS
Telephone Number	:	318-381-6823

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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