Provider Demographics
NPI:1477756138
Name:SANDHU, CHARANJIT KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARANJIT
Middle Name:KAUR
Last Name:SANDHU
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 1:24 W PRICE ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-4257
Mailing Address - Country:US
Mailing Address - Phone:908-925-3535
Mailing Address - Fax:
Practice Address - Street 1:24 W PRICE ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4257
Practice Address - Country:US
Practice Address - Phone:908-925-3535
Practice Address - Fax:908-925-7131
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ17853122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6037101-01Medicaid