Provider Demographics
NPI:1225567316
Name:SAGOO, PARAMJEET (DDS)
Entity Type:Individual
Prefix:
First Name:PARAMJEET
Middle Name:
Last Name:SAGOO
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 1:115 SCARLET OAK LN APT 3
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25306-0105
Mailing Address - Country:US
Mailing Address - Phone:703-501-5547
Mailing Address - Fax:
Practice Address - Street 1:830 PENNSYLVANIA AVE STE 302
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25302-3390
Practice Address - Country:US
Practice Address - Phone:304-388-2950
Practice Address - Fax:304-388-2951
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014021A1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery