Provider Demographics
NPI:1588016083
Name:BHULLAR, HARJYOT KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARJYOT
Middle Name:KAUR
Last Name:BHULLAR
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 1:7111 N MAIN ST STE 40
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-2558
Mailing Address - Country:US
Mailing Address - Phone:937-274-1127
Mailing Address - Fax:
Practice Address - Street 1:7111 N MAIN ST STE 40
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-2558
Practice Address - Country:US
Practice Address - Phone:937-274-1127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.025202122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist