Provider Demographics
NPI:1891880969
Name:ARMSTRONG, SANDRA LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LEE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:PO BOX 93569
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-0115
Mailing Address - Country:US
Mailing Address - Phone:817-488-3533
Mailing Address - Fax:817-421-9221
Practice Address - Street 1:2915 E SOUTHLAKE BLVD
Practice Address - Street 2:#200
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6626
Practice Address - Country:US
Practice Address - Phone:817-488-3533
Practice Address - Fax:817-421-9221
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX156921223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX008988002Medicaid