Provider Demographics
NPI:1598189656
Name:BHATTI, TAUSEEF (DDS)
Entity Type:Individual
Prefix:
First Name:TAUSEEF
Middle Name:
Last Name:BHATTI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 34TH ST
Mailing Address - Street 2:APT S27X
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4914
Mailing Address - Country:US
Mailing Address - Phone:917-426-2675
Mailing Address - Fax:
Practice Address - Street 1:1700 SAND LAKE RD
Practice Address - Street 2:D114
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-9127
Practice Address - Country:US
Practice Address - Phone:407-517-5510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-10
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20978122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist