Provider Demographics
NPI:1710026141
Name:SANDLER, MICHELLE KAUFFMAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:KAUFFMAN
Last Name:SANDLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:PAULINE
Other - Last Name:KAUFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:665 SAN RODOLFO DR STE 117
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2047
Mailing Address - Country:US
Mailing Address - Phone:858-345-1960
Mailing Address - Fax:858-345-1291
Practice Address - Street 1:665 SAN RODOLFO DR STE 117
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2047
Practice Address - Country:US
Practice Address - Phone:858-345-1960
Practice Address - Fax:858-345-1291
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA540751223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice