Sanders, Jill Elisabeth

Sanders, Jill Elisabeth is an individual health care provider with primary practice located at 5979 Desert Storm Ave , Fort Campbell KY 42223-5514. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Sanders, Jill Elisabeth can be contacted via phone (270) 412-2787.

Contact Information

Primary practice address
5979 Desert Storm Ave Fort Campbell KY 42223-5514
Phone: (270) 412-2787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0021322 Texas
Dental Providers / Periodontics 1223P0300X 21322 Texas

Profile Details

NPI number 1417927377
LBN Legal business name Sanders, Jill Elisabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 15th, 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.

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