Provider Demographics
NPI:1477127454
Name:HAYER, INDERDEEP KAUR (DMD)
Entity type:Individual
Prefix:
First Name:INDERDEEP
Middle Name:KAUR
Last Name:HAYER
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 1:824 E BELT LINE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2231
Mailing Address - Country:US
Mailing Address - Phone:469-736-0111
Mailing Address - Fax:
Practice Address - Street 1:824 E BELT LINE RD STE 100
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2231
Practice Address - Country:US
Practice Address - Phone:469-736-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37174122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist