Individual
JERRY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1607 E RAINFOREST DR, FAYETTEVILLE, AR 72703-5385
(479) 582-0600
(479) 443-4630
Mailing address
1607 E RAINFOREST DR, FAYETTEVILLE, AR 72703-5385
(479) 582-0600
(479) 443-4630
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3424
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400699
UCCI
AR
05
—
149537608
—
AR
01
—
3424
DELTA DENTAL
AR
01
—
5X368
BCBS
AR
Enumeration date
12/06/2006
Last updated
12/09/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us