Provider Demographics
NPI:1801204532
Name:SAHA, SAROJ KUMAR (DDS MSD)
Entity Type:Individual
Prefix:DR
First Name:SAROJ
Middle Name:KUMAR
Last Name:SAHA
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:DR
Other - First Name:SAROJ
Other - Middle Name:KUMAR
Other - Last Name:SAHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:830 S EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4343
Mailing Address - Country:US
Mailing Address - Phone:309-657-6665
Mailing Address - Fax:
Practice Address - Street 1:682 S EMERSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4339
Practice Address - Country:US
Practice Address - Phone:309-657-6665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-25
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COD02020851223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics