Provider Demographics
NPI:1225167943
Name:BHUI, JAGJIT
Entity Type:Individual
Prefix:DR
First Name:JAGJIT
Middle Name:
Last Name:BHUI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 NE VANCOUVER MALL DR
Mailing Address - Street 2:SUITE# 100
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-8201
Mailing Address - Country:US
Mailing Address - Phone:360-695-5555
Mailing Address - Fax:360-253-6437
Practice Address - Street 1:9300 NE VANCOUVER MALL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-8201
Practice Address - Country:US
Practice Address - Phone:360-695-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA8609122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5049143Medicaid