# MR. RUSSELL WILLIAM SANDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699692715
- **Gender:** Man
- **Credential:** DDS GRADUATE WAITING

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 13244 | TN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | TN | Yes |

## Other

- **Enumeration date:** 06/30/2026
- **Last updated:** 07/09/2026
