# BERNARD SANDERS DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386005551
- **Authorized official:** BERNARD SANDERS DDS (DENTIST)
- **Authorized official phone:** (248) 569-6629

## Contact information

- **Practice address:** 19931 W 12 MILE RD, SOUTHFIELD, MI 48076-2591
- **Practice address phone:** (248) 569-6629
- **Practice address fax:** (248) 569-1856
- **Mailing address:** 19931 W 12 MILE RD, SOUTHFIELD, MI 48076-2591
- **Mailing address phone:** (248) 569-6629
- **Mailing address fax:** (248) 569-1856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901014011 | MI | Yes |

## Other

- **Enumeration date:** 03/15/2016
- **Last updated:** 03/15/2016