Jerry Sanders is a Fayetteville, Arkansas based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jerry Sanders is
3424 for Pediatric Dentistry in Arkansas. His current practice location is
1607 E Rainforest Dr, Fayetteville. Patients can reach him at
479-582-0600.
Jerry Sanders provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Jerry Sanders speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jerry Sanders |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1607 E Rainforest Dr, Fayetteville, Arkansas, 72703-5385 |
| Phone: | 479-582-0600 |
| Fax: | 479-443-4630 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1568521755 |
| NPI Enumeration Date: | 06 Dec, 2006 |
| NPI Last Update On: | 09 Dec, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry Sanders are as mentioned below.
| License Number | Specialization | State | Status | |
| 3424 | Pediatric Dentistry | Arkansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jerry Sanders such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1400699 | Other | Arkansas | UCCI |
| 5X368 | Other | Arkansas | BCBS |
| 149537608 | Medicaid | Arkansas | |
| 3424 | Other | Arkansas | DELTA DENTAL |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1607 E Rainforest Dr, Fayetteville, Arkansas |
| Zip: | 72703-5385 |
| Phone Number: | 479-582-0600 |
| Fax Number: | 479-443-4630 |
Patients can reach Jerry Sanders at
1607 E Rainforest Dr, Fayetteville, Arkansas or can
call to book an appointment on 479-582-0600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.