Provider Demographics
NPI:1437574589
Name:KAUR, SATINDERDEEP (DMD)
Entity Type:Individual
Prefix:DR
First Name:SATINDERDEEP
Middle Name:
Last Name:KAUR
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 1:37020 GARFIELD RD
Mailing Address - Street 2:SUITE T4
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3645
Mailing Address - Country:US
Mailing Address - Phone:586-263-4060
Mailing Address - Fax:586-263-4111
Practice Address - Street 1:37020 GARFIELD RD
Practice Address - Street 2:SUITE T4
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3645
Practice Address - Country:US
Practice Address - Phone:586-263-4060
Practice Address - Fax:586-263-4111
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI025384011223G0001X
MI2901021807122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice