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JACQUELINE NICHOLE SANDERS DDS
NPI 1750015780
Dentist - General Practice in Fircrest, WA

Active since July 14, 2022
412 BOWES DR, FIRCREST, WA 98466(219) 256-2472 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2023, Jul 14, 2022 (2 updates tracked since 2022).

About Jacqueline Nichole Sanders Dds NPPES

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

JACQUELINE NICHOLE SANDERS DDS (NPI 1750015780) is an individual general practice provider in Fircrest, Washington, licensed in Washington (DENT.DE.61321157) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1750015780
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJACQUELINE NICHOLE SANDERSCredential: DDS
Location Address412 BOWES DRFircrest, WA 98466-7057
Mailing Address1215 83rd St ETacoma, WA 98404-3340
Phone(219) 256-2472
Sole ProprietorYes
Enumeration DateJuly 14, 2022
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1750015780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DENT.DE.61321157
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 61321157 (WA)
412 BOWES DR, Fircrest, WA 98466
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Other Names 1

Former Name (1)Jacqueline Nichole Petrovich Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. TINA M. OLSSON D.M.D., M.S.D
Dentist (Endodontics)
412 BOWES DR
FIRCREST, WA 98466
Pierce County (253) 752-5511

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 Jacqueline Sanders's NPI number?

The NPI number for Jacqueline Sanders is 1750015780. It was assigned to this individual provider in the NPPES registry on July 14, 2022. The provider is also known as Jacqueline Nichole Petrovich Dds.

Where is Jacqueline Sanders located?

Jacqueline Sanders practices at 412 Bowes Dr, Fircrest, WA 98466. The listed phone number is (219) 256-2472.

What is Jacqueline Sanders's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jacqueline Sanders accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Jacqueline Sanders as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Sanders was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.