Provider Demographics
NPI:1902258437
Name:SEKHON, SHUBKARMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHUBKARMAN
Middle Name:
Last Name:SEKHON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5234 N O CONNOR BLVD APT 3501
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-5736
Mailing Address - Country:US
Mailing Address - Phone:214-770-1981
Mailing Address - Fax:
Practice Address - Street 1:2430 SUITE 210
Practice Address - Street 2:I-35E
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210
Practice Address - Country:US
Practice Address - Phone:940-202-0419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-08
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0409201223G0001X
390200000X
TX333121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program