Provider Demographics
NPI:1558409094
Name:BEDI, SATNAM S (DMD)
Entity Type:Individual
Prefix:DR
First Name:SATNAM
Middle Name:S
Last Name:BEDI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10481 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-5045
Mailing Address - Country:US
Mailing Address - Phone:352-683-1845
Mailing Address - Fax:352-683-2111
Practice Address - Street 1:10481 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5045
Practice Address - Country:US
Practice Address - Phone:352-683-1845
Practice Address - Fax:352-683-2111
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 0071671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice