Provider Demographics
NPI:1902543804
Name:HEMANI KAUR DMD PC
Entity Type:Organization
Organization Name:HEMANI KAUR DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SANJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-559-1025
Mailing Address - Street 1:198 THOMAS JOHNSON DR STE 6
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4440
Mailing Address - Country:US
Mailing Address - Phone:301-846-0433
Mailing Address - Fax:
Practice Address - Street 1:198 THOMAS JOHNSON DR STE 6
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4440
Practice Address - Country:US
Practice Address - Phone:301-846-0433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental