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DR. JERROD LYNN SANDERS DDS
NPI 1245200104
Dentist - Prosthodontics in Fort Campbell, KY

Active since January 24, 2006
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223(270) 412-8563 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerrod Lynn Sanders Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERROD LYNN SANDERS DDS (NPI 1245200104) is an individual prosthodontics provider in Fort Campbell, Kentucky, licensed in Texas (21321) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1245200104
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. JERROD LYNN SANDERSCredential: DDS
Location Address5979 DESERT STORM AVEFort Campbell, KY 42223-5514
Mailing Address9900 Lincon St Fl 2, Hqs Usa DentacJoint Base Lewis Mcchord, WA 98431-0001 · (253) 968-4029 · Fax (253) 968-5919
Phone(270) 412-8563
Sole ProprietorYes
Enumeration DateJanuary 24, 2006
Last NPPES UpdateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1245200104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in TX · 21321
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentistTaxonomy 122300000X · License 0021321 (TX)
5979 DESERT STORM AVE, Fort Campbell, KY 42223
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DUKE PHU NGUYEN DMD
Dentist (General Practice)
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 412-8547
MS. RUTH MOZELL ANDERSON REGISTERED NURSE
Registered Nurse (Case Management)
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 412-3856
JESSICA JOHNS PHYSICIAN ASSISTANT
Physician Assistant
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-4677
EMMA MARIE JESSUP PA-C
Physician Assistant
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-4677
MRS. VLATKA SPLAJT PLYMALE D.O.
General Practice
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 412-8698
DR. KRISTEN E QUARTARARO DMD
Dentist
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 412-2787
LINDA ALLEN LPN
Licensed Practical Nurse
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 956-0303
CORINA MARIE WETTLAUFER
Case Manager/Care Coordinator
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 412-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrod Sanders's NPI number?

The NPI number for Jerrod Sanders is 1245200104. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Jerrod Sanders located?

Jerrod Sanders practices at 5979 Desert Storm Ave, Fort Campbell, KY 42223. The listed phone number is (270) 412-8563.

What is Jerrod Sanders's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Jerrod Sanders was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.