Provider Demographics
NPI:1578123683
Name:MAKKAR, SUKHMANPREET KAUR (DMD)
Entity Type:Individual
Prefix:
First Name:SUKHMANPREET
Middle Name:KAUR
Last Name:MAKKAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16122 SE NEWPORT WAY
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1844
Mailing Address - Country:US
Mailing Address - Phone:425-499-8795
Mailing Address - Fax:
Practice Address - Street 1:19620 HIGHWAY 99 STE 106
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5565
Practice Address - Country:US
Practice Address - Phone:206-670-1144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60950505122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist