Provider Demographics
NPI:1093072795
Name:SANDHU, PUNEET SINGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:PUNEET
Middle Name:SINGH
Last Name:SANDHU
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 1:8350 E RAINTREE DR
Mailing Address - Street 2:115
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2695
Mailing Address - Country:US
Mailing Address - Phone:480-609-0050
Mailing Address - Fax:480-609-0047
Practice Address - Street 1:8350 E RAINTREE DR
Practice Address - Street 2:115
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2695
Practice Address - Country:US
Practice Address - Phone:480-609-0050
Practice Address - Fax:480-609-0047
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2014-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0083921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice