Provider Demographics
NPI:1407560980
Name:THIND, NAVDEEP K (DMD)
Entity Type:Individual
Prefix:
First Name:NAVDEEP
Middle Name:K
Last Name:THIND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 W MCNEESE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-4244
Mailing Address - Country:US
Mailing Address - Phone:337-478-3232
Mailing Address - Fax:337-478-3206
Practice Address - Street 1:1616 W MCNEESE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-4244
Practice Address - Country:US
Practice Address - Phone:337-478-3232
Practice Address - Fax:337-478-3206
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7392122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1912236712OtherGROUP NPI