Individual
DR. JILL ELISABETH SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 412-2787
Mailing address
112 WATER WOOD DR, CLARKSVILLE, TN 37043-7236
(706) 951-1440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0021322
TX
1223P0300X
Periodontics
Primary
21322
TX
Other
Enumeration date
01/24/2006
Last updated
03/15/2023
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