Gurvinder Singh Bhatti, DDS
Individual provider Active NPI Dentist · Clinton, NC
NPI 1013299189 · NPPES record last updated Jun 13, 2016
Key facts
- NPI
- 1013299189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 9631 (NC)
- Practice address
- 320 Northeast Blvd
Clinton, NC 28328-2424 - Phone
- (252) 991-6843
- NPI assigned
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27405 | TX | MD | General Practice Dentistry |
| 9631 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27405 | TX | |
| Dentist | 122300000X | 9631 | NC | Yes |
Addresses
Primary practice location
320 Northeast Blvd
Clinton, NC 28328-2424
Mailing address
730 Villagio PL
428
Fayetteville, NC 28303-4285
Phone (559) 907-1194
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.