P Praxis·MD
● Active Type 1 · Individual

DR. Kyle T Sanders, DDS

Dentist·Lawrenceville, GA· NPI 1598735730 · Enumerated 2006 · 20 years on NPI
Sanders is 1 of 6 dentist providers in Lawrenceville and 1 of 539 in Georgia.
NPI age
20 years
Enumerated 2006-01-23
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2009-10-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
3664 Club Dr, Suite 105
Lawrenceville, GA 300442961
📞 7702797987fax 7702798951
Mailing address
2500 Marketplace Drive, Suite 122
Waco, TX 76711
📞 4044882741fax 6786625795

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    TX license #25056 taxonomy 1223P0221X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #11929 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (GA) 000842135F
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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