Provider Demographics
NPI:1003671280
Name:DHANJAL, MANPREET KAUR (DDS)
Entity Type:Individual
Prefix:
First Name:MANPREET KAUR
Middle Name:
Last Name:DHANJAL
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 1:2157 EGBERT RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-9933
Mailing Address - Country:US
Mailing Address - Phone:720-226-4745
Mailing Address - Fax:
Practice Address - Street 1:10110 E WASHINGTON ST STE E
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-2638
Practice Address - Country:US
Practice Address - Phone:317-897-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014316A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice