Provider Demographics
NPI:1770746968
Name:KAUR, JASMINDER (DDS)
Entity type:Individual
Prefix:DR
First Name:JASMINDER
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 1:568W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-6920
Mailing Address - Country:US
Mailing Address - Phone:434-799-0120
Mailing Address - Fax:434-791-1942
Practice Address - Street 1:568W MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-6920
Practice Address - Country:US
Practice Address - Phone:434-799-0120
Practice Address - Fax:434-791-1942
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22241122300000X
VA04014144361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist