Provider Demographics
NPI:1447594767
Name:JASPREET DHINGRA-BAJAJ, LTD
Entity Type:Organization
Organization Name:JASPREET DHINGRA-BAJAJ, LTD
Other - Org Name:BRIGHT DENTAL SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:DHRINGRA-BAJAJ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-501-0404
Mailing Address - Street 1:100 E ROOSEVELT RD STE 14
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3529
Mailing Address - Country:US
Mailing Address - Phone:630-501-0404
Mailing Address - Fax:
Practice Address - Street 1:100 E ROOSEVELT RD STE 14
Practice Address - Street 2:
Practice Address - City:VILLA PARK
Practice Address - State:IL
Practice Address - Zip Code:60181-3529
Practice Address - Country:US
Practice Address - Phone:630-501-0404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL190277281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty