DR. KYLE T SANDERS (NPI# 1598735730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598735730 |
| Entity Type | Individual |
| Full Name | DR. KYLE T SANDERS |
| Credential | DDS |
| Practice Address |
3664 Club Dr Suite 105 Lawrenceville GA 30044-2961 |
| Mailing Address |
2500 Marketplace Drive Suite 122 Waco TX 76711 |
| Practice Telephone | 7702797987 |
| Practice Fax Number | 7702798951 |
| Mailing Telephone | 4044882741 |
| Mailing Fax Number | 6786625795 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2009-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 11929 | GA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
25056 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000842135F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104319342 | Kyle Ashton Sanders | Physical Therapist | 4013 E Broadway Rd, Phoenix, AZ 85040-8818 | 2018-06-12 |
| 1245752104 | Kyle Sanders | Physical Therapist | 8199 Navarre Pkwy Ste 12a, Navarre, FL 32566-6941 | 2017-07-12 |
| 1700335163 | Kyle Sanders | Acupuncturist | 420 Walnut Ave, San Diego, CA 92103-4987 | 2016-09-27 |
| 1124495163 | Kyle Sanders | Physical Therapist | 3676 Parker Blvd, Suite 370, Pueblo, CO 81008-2212 | 2015-08-25 |
| 1295078871 | Kyle Sanders | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2013-04-01 |
| 1538320437 | Kyle Wesley Sanders | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2008-06-23 |
| 1841470143 | Kyle Lemoine Sanders | Occupational Therapist | 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102 | 2007-11-05 |
| Street Address |
3664 CLUB DR SUITE 105 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003280595 | Lawrenceville Family Dentistry | Dentist | 3664 Club Dr, Ste 105, Lawrenceville, GA 30044-2961 | 2015-11-20 |
| 1619284015 | Aachen Home Care Inc. | In Home Supportive Care | 3664 Club Dr, Suite 203b, Lawrenceville, GA 30044-2961 | 2010-09-07 |
| 1639275597 | Nayeem Z. Bashar | Dentist | 3664 Club Dr, Ste.105, Lawrenceville, GA 30044-2961 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1376772053 | Shikha Sharma | Dentist | 4850 Sugarloaf Pkwy Ste 611, Lawrenceville, GA 30044-2866 | 2009-07-02 |
| 1124221692 | Karl Edward Lugus | Dentist | 749 Old Norcross Rd, Suite B, Lawrenceville, GA 30045 | 2007-06-11 |
| 1962723320 | Kristy Lynn Slachta | Dentist | 3131 Princeton Pike, Building 6, Suite 108, Lawrenceville, NJ 08648-2201 | 2010-06-18 |
| 1477605376 | Jill Ann Farster - Lyew | Dentist | 3060 River Dr, Lawrenceville, GA 30044-5526 | 2007-01-18 |
| 1831241744 | Raymond C. Lyew D.d.s., P.C. | Dentist | 3060 River Dr, Lawrenceville, GA 30044-5526 | 2007-01-18 |
| 1215028451 | Barry Rabinowitz | Dentist | 3131 Princeton Pike, Bldg. 6 ; Suite 108, Lawrenceville, NJ 08648-2201 | 2006-09-27 |
| 1588764419 | Mercer Children's Dentistry, PC | Dentist | 3131 Princeton Pike, Building 6, Suite 108, Lawrenceville, NJ 08648-2201 | 2006-09-22 |
| 1497863989 | Brian Keith Allen | Dentist | 3131 Princeton Pike, Building 6, Suite 108, Lawrenceville, NJ 08648-2201 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895002 | Ashley Starnesdmd LLC | Dentist | 5482 Chamblee Dunwoody Rd Ste 9, Dunwoody, GA 30338-4142 | 2020-09-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1366060618 | A Dental Home 4 Kidz | Dentist | 155 Carnegie Pl Ste 201, Fayetteville, GA 30214-3981 | 2020-07-13 |
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1629619200 | Peachtree Hills Pediatric Dentistry | Dentist | 2385 Peachtree Rd Ne Ste A2ab, Atlanta, GA 30305-4139 | 2019-10-04 |
| 1871145557 | Dogwood Pediatric Dentistry of Statesboro, LLC | Dentist | 123 Hill Pond Ln, Statesboro, GA 30458-0872 | 2019-07-12 |
| 1952969396 | Ns3 Services, LLC | Dentist | 1039 Grant St Se Ste B11, Atlanta, GA 30315-2050 | 2019-05-31 |
| 1871050872 | Warner Robins Pediatric Dentistry LLC | Dentist | 102 S Houston Rd, Warner Robins, GA 31088-3904 | 2019-02-26 |
| 1730646886 | Smiles for Kids Norcross PC | Dentist | 3953 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-5201 | 2019-02-25 |
| 1073083127 | Pediatric Dentistry of Central Georgia - Macon LLC | Dentist | 5437 Bowman Rd Ste 300, Macon, GA 31210-6575 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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| 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.