Provider Demographics
NPI:1225292121
Name:SEHGAL, HARJIT SINGH (BDS,MS,DIPLOMATE-ABP)
Entity Type:Individual
Prefix:DR
First Name:HARJIT
Middle Name:SINGH
Last Name:SEHGAL
Suffix:
Gender:M
Credentials:BDS,MS,DIPLOMATE-ABP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 SW MOODEY AVE
Mailing Address - Street 2:CLSB-5N034
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201
Mailing Address - Country:US
Mailing Address - Phone:503-494-8949
Mailing Address - Fax:
Practice Address - Street 1:2730 SW MOODEY AVE
Practice Address - Street 2:CLSB-5N034
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201
Practice Address - Country:US
Practice Address - Phone:503-494-8949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDF00281223P0300X
MNS661223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics