Andrea Sanders, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122536 Issued in GA

Practice address

1366 Harlequin Way
Stockbridge, GA 30281-4226

Phone

(313) 407-3658

NPI assigned

Aug 28, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1194271460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 HARLEQUIN WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814226",
            "telephone_number": "313-407-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 HARLEQUIN WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814226",
            "telephone_number": "313-407-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ANDREA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857340",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory T. Samples, LCSW
• Samuels Holistic Counseling Services LLC
• Terry Samuels, PH.D., MS, LPC
• Veshimabeth T Samuels
• Amberleigh Adrianna Sanders, R.T.(R)
• Satin Sanders, LPC
• Terrica Sanders
• Valerie Chillis Sanders, DMIN., LMFT
• Valeria Andrea Santiago Osuna, MS, CCC-SLP
• Amanda Santos

• General Practice Dentistry in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.