Provider Demographics
NPI:1235551557
Name:SAINI, PRAGTIPAL
Entity Type:Individual
Prefix:
First Name:PRAGTIPAL
Middle Name:
Last Name:SAINI
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 1:5 FALLEN OAK COURT
Mailing Address - Street 2:
Mailing Address - City:BRAMPTON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L6Y3S1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:151 SULLYS TRL
Practice Address - Street 2:SUITE 1
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-4562
Practice Address - Country:US
Practice Address - Phone:585-385-4867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0570821223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics