Provider Demographics
NPI:1750477972
Name:SANDLER, GERALD ALAN (DDS)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:ALAN
Last Name:SANDLER
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 1:225 SUMTER AVE S
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1413
Mailing Address - Country:US
Mailing Address - Phone:763-541-9346
Mailing Address - Fax:952-545-1811
Practice Address - Street 1:1730 PLYMOUTH RD STE 204
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1961
Practice Address - Country:US
Practice Address - Phone:952-541-1135
Practice Address - Fax:952-545-1811
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN89771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice