Provider Demographics
NPI:1174855944
Name:DHESI, SANDEEP SINGH (DMD)
Entity Type:Individual
Prefix:DR
First Name:SANDEEP
Middle Name:SINGH
Last Name:DHESI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4899 MONTROSE BLVD APT 705
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-6165
Mailing Address - Country:US
Mailing Address - Phone:832-668-0724
Mailing Address - Fax:
Practice Address - Street 1:6516 M D ANDERSON BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3402
Practice Address - Country:US
Practice Address - Phone:713-500-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXUTH 315-X1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXUTH 315-XOtherTEXAS DENTAL BOARD TRAINING NUMBER