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NPI Code Detail

MEDICARE: SANDERS, TOMPKINS, SCHIRO, LANDERS AND SANDERS PLLC

MEDICARE: SANDERS, TOMPKINS, SCHIRO, LANDERS AND SANDERS 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
11223P0221XPediatric DentistryAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25C635OTHERARBCBS,HEALTH ADVANTAGE
3414939OTHERKSBCBS OF KS
41400699OTHERARUCCI/US ABLE PROVIDER

General Provider Information

NPI Number : 1154401057
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDERS, TOMPKINS, SCHIRO, LANDERS AND SANDERS PLLC
Provider Business Mailing Address
First Line : 1607 E RAINFOREST DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-5385
Country : US
Telephone Number : 479-582-0600
Fax Number : 479-443-4630
Provider Business Practice Location Address
First Line : 1607 E RAINFOREST DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-5385
Country : US
Telephone Number : 479-582-0600
Fax Number : 479-443-4630
Authorized Official
Title or Position : HUMAN RESOURCES COORDINATOR
Name : ROCIO RODRIGUEZ
Credential :
Telephone Number : 479-582-0600
Provider Enumeration Date : 10/16/2006
Last Update Date : 06/12/2024

Similar Medicare Providers

1265544035 — YONG S KWON M.D.
Practice Location Address:
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FAYETTEVILLE, AR
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1407915515 — WILLIAM TOMPKINS D.D.S.
Practice Location Address:
1607 E RAINFOREST DR
FAYETTEVILLE, AR
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Practice Fax: 479-443-4630
1568521755 — JERRY SANDERS D.D.S.
Practice Location Address:
1607 E RAINFOREST DR
FAYETTEVILLE, AR
72703-5385
Practice Phone: 479-582-0600
Practice Fax: 479-443-4630
1447319561 — COURTNEY SCHIRO D.D.S.
Practice Location Address:
1607 E RAINFOREST DR
FAYETTEVILLE, AR
72703-5385
Practice Phone: 479-582-0600
Practice Fax: 479-443-4630
1407915531 — TONYA R TRIPLETT D.D.S.
Practice Location Address:
1607 E RAINFOREST DR
FAYETTEVILLE, AR
72703-5385
Practice Phone: 479-582-0600
Practice Fax: 479-443-4630
1467672972 — DR. JASON MASCHAL LANDERS DDS, MS
Practice Location Address:
1607 E RAINFOREST DR
FAYETTEVILLE, AR
72703-5385
Practice Phone: 479-582-0600
Practice Fax: 479-443-4630

Directions to “SANDERS, TOMPKINS, SCHIRO, LANDERS AND SANDERS PLLC ” Practice Location

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