Provider Demographics
NPI:1245030246
Name:SANDER ORTHODONTIC ARTS, LLC
Entity type:Organization
Organization Name:SANDER ORTHODONTIC ARTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:316-706-9799
Mailing Address - Street 1:13229 E BRIDLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67230-1799
Mailing Address - Country:US
Mailing Address - Phone:316-706-9799
Mailing Address - Fax:
Practice Address - Street 1:13229 E BRIDLEWOOD CT
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67230-1799
Practice Address - Country:US
Practice Address - Phone:316-706-9799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty