Provider Demographics
NPI:1760898910
Name:AMANDEEP KAUR DDS P.C
Entity Type:Organization
Organization Name:AMANDEEP KAUR DDS P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-980-2682
Mailing Address - Street 1:115 AVOCA AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-3124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:70 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-2158
Practice Address - Country:US
Practice Address - Phone:508-640-6040
Practice Address - Fax:508-640-6041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856473122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty