Luke Stephen Sandersfeld, DDS Valid NPI

Individual provider · General Practice Dentistry · Fort Campbell, KY

NPI

1568071702

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D14378 (MN)

Sex

Male

Sole proprietor

Yes

Enumerated

2020-07-23

Last updated

2023-08-10