Jacob Sandlin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3832 Issued in AR

Practice address

1699 Red Wolf Blvd Ste I
Jonesboro, AR 72401-5453

Phone

(870) 336-0543

Fax

(870) 336-0061

NPI assigned

Jul 5, 2011

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandlin Dentistry PLLC

  dba Arkansas Dental Clinic of Joneboro

  • General Practice Dentistry
  • Joneboro, AR
  • NPI 1275092710
  Authorized official Same address or phone
• Davis Dental Partnership

  • General Practice Dentistry
  • Jonesboro, AR
  • NPI 1679671051
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1528355187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ENTERPRISE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724019239",
            "telephone_number": "870-932-0330",
            "fax_number": "870-933-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 RED WOLF BLVD STE I",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015453",
            "telephone_number": "870-336-0543",
            "fax_number": "870-336-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "JACOB",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3832",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Sanders
• Joseph Sanders, MD
• Leann B Sanders
• Madison Sanders, MCD, CF-SLP
• Samantha Nicole Sanders, AT
• Andrew Audel Sandoval, DDS
• Panagiota Sandoval, DDS
• Andrew Sang
• Charles Sarpong, MD
• Sarah Adriane Saunders, M.C.D, CF-SLP

• General Practice Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.