Provider Demographics
NPI:1003392499
Name:SHERGILL, NAVNEET
Entity Type:Individual
Prefix:
First Name:NAVNEET
Middle Name:
Last Name:SHERGILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2473 ROCKROSE CIR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-8882
Mailing Address - Country:US
Mailing Address - Phone:609-500-1133
Mailing Address - Fax:
Practice Address - Street 1:415 ALTURAS ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4144
Practice Address - Country:US
Practice Address - Phone:916-722-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102707122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist