Provider Demographics
NPI:1821790791
Name:KAUR, SAHIB (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAHIB
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 N URSULA ST APT 357
Mailing Address - Street 2:357
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7609
Mailing Address - Country:US
Mailing Address - Phone:717-850-3030
Mailing Address - Fax:
Practice Address - Street 1:2200 N URSULA ST APT APPT357
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7600
Practice Address - Country:US
Practice Address - Phone:717-850-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002054881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty