Provider Demographics
NPI:1013144351
Name:SEHGAL, SURBHI (DMD)
Entity Type:Individual
Prefix:
First Name:SURBHI
Middle Name:
Last Name:SEHGAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 OLANDWOOD CT STE 104
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1485
Mailing Address - Country:US
Mailing Address - Phone:301-774-6200
Mailing Address - Fax:301-774-1272
Practice Address - Street 1:3401 OLANDWOOD CT STE 104
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1485
Practice Address - Country:US
Practice Address - Phone:301-774-6200
Practice Address - Fax:301-774-1272
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD165431223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty