Provider Demographics
NPI:1336923267
Name:KAUR, SAHEJPREET (DDS)
Entity Type:Individual
Prefix:
First Name:SAHEJPREET
Middle Name:
Last Name:KAUR
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 1:212 DWYER AVE
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-7517
Mailing Address - Country:US
Mailing Address - Phone:951-477-9868
Mailing Address - Fax:
Practice Address - Street 1:1620 E 2ND ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-3171
Practice Address - Country:US
Practice Address - Phone:951-477-9868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13456707-99211223G0001X
CADDS1097551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral Practice