NPI age
19 years
Enumerated 2006-11-03
● Active
Type 1 · Individual
MR. Jonathan Ragnar Sander, LD
Sander is 1 of 2 denturist providers in Buhl and 1 of 41 in Idaho.
Primary specialty
Denturist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 41 active denturist providers in Idaho.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
124 11th Avenue North, Denture Center
Buhl, ID 83316
Mailing address
124 11th Ave N
Buhl, ID 833161602
Specialties
-
Denturist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806630800 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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