Provider Demographics
NPI:1013019389
Name:SANDLER, NOAH ARI (DMD MD)
Entity Type:Individual
Prefix:DR
First Name:NOAH
Middle Name:ARI
Last Name:SANDLER
Suffix:
Gender:M
Credentials:DMD MD
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Other - Credentials:
Mailing Address - Street 1:13875 HWY 13 FRONTAGE RD
Mailing Address - Street 2:SUITE #50
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378
Mailing Address - Country:US
Mailing Address - Phone:952-226-7940
Mailing Address - Fax:952-226-7949
Practice Address - Street 1:13875 HWY 13 FRONTAGE RD
Practice Address - Street 2:SUITE #50
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378
Practice Address - Country:US
Practice Address - Phone:952-226-7940
Practice Address - Fax:952-226-7949
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN112671223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H02436Medicare UPIN