Provider Demographics
NPI:1487012928
Name:SHERGILL, SANJEETA KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANJEETA
Middle Name:KAUR
Last Name:SHERGILL
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 1:5701 YOUNG ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8897
Mailing Address - Country:US
Mailing Address - Phone:661-832-1877
Mailing Address - Fax:
Practice Address - Street 1:9860 BRIMHALL RD
Practice Address - Street 2:#100
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312
Practice Address - Country:US
Practice Address - Phone:661-588-2525
Practice Address - Fax:661-588-2222
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-28
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1002371223P0221X
MO2014021045390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program