Provider Demographics
NPI:1013359751
Name:BHULLAR, GURVINDERJIT SINGH (DDS)
Entity Type:Individual
Prefix:
First Name:GURVINDERJIT
Middle Name:SINGH
Last Name:BHULLAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 JEFFERSON ST
Mailing Address - Street 2:NONE
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-5702
Mailing Address - Country:US
Mailing Address - Phone:916-993-0916
Mailing Address - Fax:
Practice Address - Street 1:2119 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-1211
Practice Address - Country:US
Practice Address - Phone:707-257-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29298122300000X
CA63427122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist