Sanders, Jerrod Lynn

Sanders, Jerrod Lynn is an sole proprietor health care provider with primary practice located at 5979 Desert Storm Ave , Fort Campbell KY 42223-5514. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Sanders, Jerrod Lynn can be contacted via phone (270) 412-8563.

Contact Information

Primary practice address
5979 Desert Storm Ave Fort Campbell KY 42223-5514
Phone: (270) 412-8563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0021321 Texas
Dental Providers / Prosthodontics 1223P0700X 21321 Texas

Profile Details

NPI number 1245200104
LBN Legal business name Sanders, Jerrod Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Mar 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers