Provider Demographics
NPI:1205415916
Name:ANAND, DAMANJYOT KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAMANJYOT
Middle Name:KAUR
Last Name:ANAND
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 1:1476 DEER PARK AVE # 1200
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-1200
Mailing Address - Country:US
Mailing Address - Phone:631-254-5437
Mailing Address - Fax:
Practice Address - Street 1:1476 DEER PARK AVE # 1200
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-1200
Practice Address - Country:US
Practice Address - Phone:631-254-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0632911223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry