Bradley Thorban Sanders, DMD, MSD

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Salado, TX

NPI 1134813363 · NPPES record last updated Aug 18, 2025

Key facts

NPI
1134813363
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
41890 (TX)
Practice address
1010 Woodland Bend Cir
Salado, TX 76571-6438
Phone
(803) 920-7856
NPI assigned
Jun 8, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
41890TXMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 41890 TX Yes

Addresses

Primary practice location

1010 Woodland Bend Cir
Salado, TX 76571-6438

Mailing address

1010 Woodland Bend Cir
Salado, TX 76571-6438
Phone (803) 920-7856

Other providers in Salado, TX

All providers in Salado, TX · Orthodontics and Dentofacial Orthopedics Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.