Provider Demographics
NPI:1578626008
Name:LAKHANPAL, SANGEETA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SANGEETA
Middle Name:
Last Name:LAKHANPAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:GEETA
Other - Middle Name:
Other - Last Name:LAKHANPAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:202 INVERNESS CENTER DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7633
Mailing Address - Country:US
Mailing Address - Phone:205-991-8939
Mailing Address - Fax:205-995-5028
Practice Address - Street 1:202 INVERNESS CENTER DR
Practice Address - Street 2:SUITE 301
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7633
Practice Address - Country:US
Practice Address - Phone:205-991-8939
Practice Address - Fax:205-995-5028
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL44971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice