Provider Demographics
NPI:1598245037
Name:AULAKH, KARANBEER SINGH (DMD)
Entity Type:Individual
Prefix:
First Name:KARANBEER
Middle Name:SINGH
Last Name:AULAKH
Suffix:
Gender:M
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:SMILE & SHINE DENTAL
Mailing Address - Street 2:158 MANOR AVENUE
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06705
Mailing Address - Country:US
Mailing Address - Phone:203-527-3375
Mailing Address - Fax:
Practice Address - Street 1:SMILE & SHINE DENTAL
Practice Address - Street 2:158 MANOR AVENUE
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705
Practice Address - Country:US
Practice Address - Phone:203-527-3375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT12382122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program