Individual
KENNETH SANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3030 N BALLARD RD, APPLETON, WI 54911-8707
(201) 463-3233
Mailing address
1110 FOX GLEN DR, ST CHARLES, IL 60174-8840
(201) 463-3233
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021002928
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
037164
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6002120
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D102119
NJ
Other
Enumeration date
02/13/2008
Last updated
05/05/2026
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