Provider Demographics
NPI:1245454164
Name:BHATT, DEEPA G (DDS)
Entity type:Individual
Prefix:
First Name:DEEPA
Middle Name:G
Last Name:BHATT
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 1:955 S GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3799
Mailing Address - Country:US
Mailing Address - Phone:717-854-1803
Mailing Address - Fax:
Practice Address - Street 1:955 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3799
Practice Address - Country:US
Practice Address - Phone:717-854-1803
Practice Address - Fax:717-843-6785
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0373631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice