Provider Demographics
NPI:1407979511
Name:KAUR, TARA (DDS)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:
Last Name:KAUR
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 1:7701 YORK AVE S.
Mailing Address - Street 2:SUITE #140
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435
Mailing Address - Country:US
Mailing Address - Phone:952-956-6700
Mailing Address - Fax:952-956-6706
Practice Address - Street 1:7701 YORK AVE SOUTH
Practice Address - Street 2:SUITE #140
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-956-6700
Practice Address - Fax:952-956-6706
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND114551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice