Fenton, Sanford Jay

Fenton, Sanford Jay is an individual health care provider with primary practice located at 875 Union Ave S 217 B, Memphis TN 38163-0001. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Fenton, Sanford Jay can be contacted via phone (901) 448-6206.

Contact Information

Primary practice address
875 Union Ave S 217 B Memphis TN 38163-0001
Phone: (901) 448-6206
Fax: (901) 448-6249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS0000007119 Tennessee
Dental Providers / Pediatric Dentistry 1223P0221X 3314 Arkansas

Profile Details

NPI number 1942371695
LBN Legal business name Fenton, Sanford Jay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942371695 NPPES
Tennessee Other 0005926 TENNCARE PROVIDER NUMBER

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