Provider Demographics
NPI:1073971677
Name:GULATI, MANEET (DDS)
Entity Type:Individual
Prefix:DR
First Name:MANEET
Middle Name:
Last Name:GULATI
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 1:7125 ROWLOCK ALY
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1592
Mailing Address - Country:US
Mailing Address - Phone:480-275-0884
Mailing Address - Fax:
Practice Address - Street 1:3459 SAINT JOHNS LN STE 1
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-4025
Practice Address - Country:US
Practice Address - Phone:410-750-0207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD178071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice