Provider Demographics
NPI:1568680148
Name:SEHEJ DENTAL, LLC
Entity Type:Organization
Organization Name:SEHEJ DENTAL, LLC
Other - Org Name:OASIS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAVANJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHHABRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-433-9325
Mailing Address - Street 1:30 RIM LN
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-6117
Mailing Address - Country:US
Mailing Address - Phone:516-433-9325
Mailing Address - Fax:
Practice Address - Street 1:400 FULTON AVE STE E
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-4148
Practice Address - Country:US
Practice Address - Phone:516-433-9325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0505841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty