Provider Demographics
NPI:1881411098
Name:JASPREET S DHAMI DENTAL INC
Entity type:Organization
Organization Name:JASPREET S DHAMI DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:530-441-6712
Mailing Address - Street 1:415 ALTURAS ST STE 2
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4144
Mailing Address - Country:US
Mailing Address - Phone:530-441-6712
Mailing Address - Fax:
Practice Address - Street 1:415 ALTURAS ST STE 2
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4144
Practice Address - Country:US
Practice Address - Phone:530-441-6712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADDS106108OtherDENTAL LICENSE