Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558440313 Individual Practitioner Male Practitioner

Jonathan Ragnar Sander , LD

Denturist • Buhl, ID

Professional Overview & Biography Verified Profile Summary

Jonathan Sander, LD is a registered healthcare professional specializing in Denturist in Buhl, ID. Practice services are available at 124 11TH AVENUE NORTH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

124 11th Avenue North
Denture Center

Buhl, ID 83316

Telephone 2085432747

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Buhl, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Buhl, ID (32 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-27
Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License ID LD 36

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
806630800 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1366800583

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 124 11TH AVENUE NORTH, DENTURE CENTER, BUHL, ID 83316 (Tel: 2085432747)

📍
Updated Business Mailing Address July 08, 2007

Registered at 124 11TH AVE N, BUHL, ID 833161602 (Tel: 2083242747)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN SANDER, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Denturist (License #LD 36 in ID)

🟢
Initial NPI Registration & Enumeration November 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558440313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: November 27, 2024
Sole Proprietor: Yes

Mailing Address

124 11th Ave N

Buhl, ID 833161602

Phone: 2088082747

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.