Provider Demographics
NPI:1801982996
Name:SANDHU, HARINDER SINGH (DDS)
Entity type:Individual
Prefix:DR
First Name:HARINDER
Middle Name:SINGH
Last Name:SANDHU
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 1:115 SETH LOW MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-2023
Mailing Address - Country:US
Mailing Address - Phone:201-410-5137
Mailing Address - Fax:
Practice Address - Street 1:30 PROSPECT ST
Practice Address - Street 2:UNIT #100
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4562
Practice Address - Country:US
Practice Address - Phone:201-410-5137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0106501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice