Provider Demographics
NPI:1356147797
Name:S BHAKTA DDS PLC
Entity type:Organization
Organization Name:S BHAKTA DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUJATA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BHAKTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-332-0151
Mailing Address - Street 1:625 E LIBERTY ST STE 203
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2013
Mailing Address - Country:US
Mailing Address - Phone:734-332-0151
Mailing Address - Fax:
Practice Address - Street 1:625 E LIBERTY ST STE 203
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2013
Practice Address - Country:US
Practice Address - Phone:734-332-0151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies