Provider Demographics
NPI:1184282857
Name:SANDHU, HARJOT K (DDS)
Entity type:Individual
Prefix:DR
First Name:HARJOT
Middle Name:K
Last Name:SANDHU
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 1:40820 7 MILE RD STE A
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-2642
Mailing Address - Country:US
Mailing Address - Phone:347-846-2956
Mailing Address - Fax:
Practice Address - Street 1:40820 7 MILE RD STE A
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-2642
Practice Address - Country:US
Practice Address - Phone:734-766-7400
Practice Address - Fax:734-823-3002
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901600379122300000X
OH30.0258081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice