Provider Demographics
NPI:1598471260
Name:SUKHI DENTAL PC
Entity Type:Organization
Organization Name:SUKHI DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADITYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:224-656-0567
Mailing Address - Street 1:15 LEDGEVIEW WAY STE A
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-1952
Mailing Address - Country:US
Mailing Address - Phone:224-656-0567
Mailing Address - Fax:
Practice Address - Street 1:15 LEDGEVIEW WAY STE A
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1952
Practice Address - Country:US
Practice Address - Phone:224-656-0567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty