Provider Demographics
NPI:1295338283
Name:DHAMI, GURVIR SINGH (DDS)
Entity type:Individual
Prefix:DR
First Name:GURVIR
Middle Name:SINGH
Last Name:DHAMI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4404 PIKE CT
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-3554
Mailing Address - Country:US
Mailing Address - Phone:530-215-4399
Mailing Address - Fax:
Practice Address - Street 1:9461 DESCHUTES RD STE 2
Practice Address - Street 2:
Practice Address - City:PALO CEDRO
Practice Address - State:CA
Practice Address - Zip Code:96073-9761
Practice Address - Country:US
Practice Address - Phone:530-547-5757
Practice Address - Fax:530-547-5755
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1058261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice