Individual
DEREK W SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
2711 FOSTER AVE, NASHVILLE, TN 37210-5307
(615) 227-3000
(615) 515-5775
Mailing address
136 IRISH OAKS DR, PORTLAND, TN 37148-2249
(615) 388-6841
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7135
TN
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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