Provider Demographics
NPI:1831061985
Name:FOREVER SMILE DENTAL
Entity type:Organization
Organization Name:FOREVER SMILE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS/OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-324-0943
Mailing Address - Street 1:15907 BLACK WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46040-8817
Mailing Address - Country:US
Mailing Address - Phone:209-324-0943
Mailing Address - Fax:
Practice Address - Street 1:11630 OLIO RD STE 100
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7678
Practice Address - Country:US
Practice Address - Phone:209-324-0943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental