Provider Demographics
NPI:1679619845
Name:SANDS, DOUGLAS ARNOLD (DDS)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ARNOLD
Last Name:SANDS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4721 CHAMBLEE DUNWOODY RD
Mailing Address - Street 2:BUILDING 400
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338
Mailing Address - Country:US
Mailing Address - Phone:770-396-7545
Mailing Address - Fax:770-392-0616
Practice Address - Street 1:4721 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:BUILDING 400
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338
Practice Address - Country:US
Practice Address - Phone:770-396-7545
Practice Address - Fax:770-392-0616
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11298122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist