Provider Demographics
NPI:1154842862
Name:KAPUR, DEVI SACHDEVA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEVI
Middle Name:SACHDEVA
Last Name:KAPUR
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 1:29611 FOXRUN CIR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-6308
Mailing Address - Country:US
Mailing Address - Phone:734-657-4656
Mailing Address - Fax:
Practice Address - Street 1:17700 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48230-6233
Practice Address - Country:US
Practice Address - Phone:313-882-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901022342122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist