Provider Demographics
NPI:1144245390
Name:KAUR, SUKHJIT (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUKHJIT
Middle Name:
Last Name:KAUR
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 1:4479 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-1714
Mailing Address - Country:US
Mailing Address - Phone:708-579-5437
Mailing Address - Fax:708-550-4778
Practice Address - Street 1:4479 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558-1714
Practice Address - Country:US
Practice Address - Phone:708-579-5437
Practice Address - Fax:708-550-4778
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051588-11223P0221X
IL0210023751223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry