IndividualActive
Jacqueline Sanders, DDS
NPI 1750015780 · General Practice Dentistry · Fircrest, WA
Provider details
- NPI number
- 1750015780
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 61321157 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
412 Bowes Dr
Fircrest, WA 98466-7057
Phone: (219) 256-2472
Approximate (ZIP-level) locationGet directions
Mailing address
1215 83rd St E
Tacoma, WA 98404-3340
Registry dates
- Enumerated
- 2022-07-14
- Last updated
- 2023-07-26
- Certified
- 2023-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.