Individual
DR. ANDREW SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1156 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2204
(850) 252-1696
Mailing address
4549 CASTLEWOOD LN, NICEVILLE, FL 32578-8799
(817) 791-3322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1234567
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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