KEVIN SANDERS (NPI# 1457745754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457745754 |
| Entity Type | Individual |
| Full Name | KEVIN SANDERS |
| Credential | D.D.S. |
| Practice Address |
6115 N Green Bay Ave Glendale WI 53209-3813 |
| Mailing Address |
720 N Argonne Rd Spokane Valley WA 99212-2794 |
| Practice Telephone | 5093029715 |
| Mailing Telephone | 5099287500 |
| Mailing Fax Number | 5099280904 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2018-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60561209 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124256946 | Kevin Denard Sanders Sr. | Specialist/Technologist, Other | 603 Cross Meadow Blvd, Mansfield, TX 76063-8696 | 2009-07-01 |
| 1376554154 | Kevin Eugene Sanders | Radiology | 2920 S Meridian Ste 200, Puyallup, WA 98373-1428 | 2006-08-10 |
| 1053828137 | Kevin Ezell Sanders | Counselor | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-10 |
| 1881028934 | Kevin C Sanders | Dentist | 761 W Tunnel Blvd, Houma, LA 70360-5545 | 2013-08-26 |
| 1487733895 | Kevin B Sanders | Psychiatry & Neurology | 3601 Tvc, Nashville, TN 37232-0001 | 2006-11-04 |
| 1760569362 | Kevin S Sanders | Psychologist | 15060 State Highway 13, Suite 2, Reeds Spring, MO 65737-8652 | 2006-11-01 |
| 1043308802 | Kevin B Sanders | Chiropractor | 5805 64th St, Lubbock, TX 79424-2707 | 2006-10-10 |
| 1558460071 | Kevin Scott Sanders | Physical Therapist | 113 E College Blvd, Roswell, NM 88201-5158 | 2006-09-21 |
| 1114930708 | Kevin Sanders | Social Worker | 1201 First Street South, Winter Haven, FL 33880 | 2006-08-14 |
| 1609831684 | Kevin Michael Sanders | Physician Assistant | 501 E Main St, Waynesboro, PA 17268-2353 | 2006-04-20 |
| Street Address |
6115 N GREEN BAY AVE |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660422 | Joson Dental Corporation | Dentist | 1415 E Colorado St Ste C, Glendale, CA 91205-1577 | 2020-08-20 |
| 1558987271 | Edward Kelly Furlong | Dentist | 5400 W Northern Ave Ste 202, Glendale, AZ 85301-1591 | 2020-06-18 |
| 1578116380 | Krina Patel Mesuria | Dentist | 4545 W Beardsley Rd Apt 2083, Glendale, AZ 85308-5080 | 2019-07-20 |
| 1801455068 | Clayton Corbridge | Dentist | 20100 N 51st Ave Ste E550, Glendale, AZ 85308-5089 | 2019-06-11 |
| 1811454481 | Lucio H Kim Dds | Dentist | 620 E Glenoaks Blvd Ste A, Glendale, CA 91207-1769 | 2019-03-01 |
| 1902386634 | Arjun Bassin | Dentist | 7025 N 75th Ave Ste 101, Glendale, AZ 85303-2545 | 2018-08-21 |
| 1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
| 1578062121 | Missagh Pezeshkian, D.d. S., A Professional Corporation | Dentist | 1016 E Broadway Ste 104, Glendale, CA 91205-4534 | 2018-02-09 |
| 1073037347 | Ian Phillip Bishop | Dentist | 6249 W Kristal Way, Glendale, AZ 85308-7661 | 2017-07-28 |
| 1801317391 | Christine Tran | Dentist | 18275 N 59th Ave Ste 128, Glendale, AZ 85308-1252 | 2017-07-05 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on KEVIN SANDERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.