Sanford Jay Fenton, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS0000007119 Issued in TN

Practice address

875 Union Ave
S 217 B
Memphis, TN 38163-0001

Phone

(901) 448-6206

Fax

(901) 448-6249

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942371695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8658 STABLEMILL LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166154",
            "telephone_number": "870-733-3854",
            "fax_number": "870-733-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 UNION AVE",
            "address_2": "S 217 B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381630001",
            "telephone_number": "901-448-6206",
            "fax_number": "901-448-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "SANFORD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS0000007119",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "3314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE PROVIDER NUMBER",
            "identifier": "0005926",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Shaw Feltner, MSSW
• Deja Felton
• Elizabeth Felton, DMD
• Fenix Performance Physiotherapy LLC
• Emma Fenner
• Marisa Anna Ferber, PHARMD
• Sean Ference, DDS
• Cheryl Lynn Fergerson, DSW, LMSW, ACHP-SW
• Harold Steven Fergus
• Kenice Ferguson-Paul, MD

• Pediatric Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.