JERROD LYNN SANDERS DDS
NPI 1245200104
Dentist in Fort Campbell,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 24, 2006

Contact Information

5979 Desert Storm Ave
Fort Campbell,
Post Code: 42223
Phone: (270) 412-8563
Fax: -

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Jerrod Lynn Sanders Dds in Fort Campbell - Dentist

Jerrod Lynn Sanders Dds is a Dentist in Fort Campbell, . Jerrod Lynn Sanders Dds practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerrod Lynn Sanders Dds is 1245200104. The last update date is 2023-03-27.

Jerrod Lynn Sanders Dds's current location address is 5979 Desert Storm Ave, Fort Campbell, . You can contact this provider via phone number (270) 412-8563 and fax number -. The mailing address for Jerrod Lynn Sanders Dds is 5979 Desert Storm Ave, Fort Campbell, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1245200104
Provider Name
JERROD LYNN SANDERS DDS
Gender
Male
Entity Type
Individual
Location Address
5979 Desert Storm Ave, Fort Campbell,
Location Phone
(270) 412-8563
Location Fax
-
Mailing Address
9900 Lincon St Fl 2, Joint Base Lewis Mcchord, Washington(WA)
Mailing Phone
253-968-4029
Mailing Fax
253-968-5919
Enumeration Date
2006-01-24
Last Update Date
2023-03-27
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist, Prosthodontics

Taxonomy Code
1223P0700X
Type
-
License No.
21321
License State
Texas (TX)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 122300000X Dentist

Dentist

0021321 (Texas)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245200104
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228540010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 228540010
2 + 2 + 8 + 5 + 4 + 0 + 0 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 4 4

The NPI number 1245200104 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235132283 RHONDA K BUTTLEMAN
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502-762-0498
1063415099 ADRIAN J PELLEGRINI
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502-899-9980
1184627127 STEVEN J KAMBER
Individual
Pediatrics PO BOX 950293
LOUISVILLE, Kentucky (KY)
888-987-1785
1134122336 NARASIMHA REDDY
Individual
Legal Medicine 106 COLUMNS PLAZA DR
GLASGOW, Kentucky (KY)
270-651-9393
1073516258 STEVEN J HODGE
Individual
Dermatology, Dermatopathology 310 E BROADWAY
LOUISVILLE, Kentucky (KY)
502-585-5249