Provider Demographics
NPI:1194842740
Name:SANDHU, SATINDER (DMD)
Entity Type:Individual
Prefix:
First Name:SATINDER
Middle Name:
Last Name:SANDHU
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 1:1024 NEWPORT MEWS DR
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3947
Mailing Address - Country:US
Mailing Address - Phone:215-244-4630
Mailing Address - Fax:
Practice Address - Street 1:9229 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-2205
Practice Address - Country:US
Practice Address - Phone:215-969-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 028718 L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist