Provider Demographics
NPI:1881842979
Name:DHINGRA-BAJAJ, JASPREET KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASPREET
Middle Name:KAUR
Last Name:DHINGRA-BAJAJ
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 1:100 E ROOSEVELT RD
Mailing Address - Street 2:SUITE #14
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3529
Mailing Address - Country:US
Mailing Address - Phone:630-930-2553
Mailing Address - Fax:630-501-0401
Practice Address - Street 1:100 E ROOSEVELT RD
Practice Address - Street 2:SUITE #14
Practice Address - City:VILLA PARK
Practice Address - State:IL
Practice Address - Zip Code:60181-3529
Practice Address - Country:US
Practice Address - Phone:630-930-2553
Practice Address - Fax:630-501-0401
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.027728122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice