Provider Demographics
NPI:1003267162
Name:SENDOR, GARRETT (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:
Last Name:SENDOR
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 SKYWATCH DR STE A
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-2537
Mailing Address - Country:US
Mailing Address - Phone:859-394-0291
Mailing Address - Fax:
Practice Address - Street 1:116 SKYWATCH DR STE A
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-2537
Practice Address - Country:US
Practice Address - Phone:859-394-0291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9883122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist