Mandeep Sidhu DDS Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55395 Issued in CA

Legal business name

MANDEEP SIDHU DDS DENTAL CORPORATION

Doing business as

Smile Line Dentistry

Practice address

1046 Murrieta Blvd
Livermore, CA 94550-4111

Phone

(925) 456-7600

Fax

(925) 456-7601

NPI assigned

Dec 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mandeep Sidhu, DDS

Title

Ceo

Phone

(925) 456-7600

Specialties & licenses 1

Addresses

Other names 1

• Smile Line Dentistry Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1023387644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504111",
            "telephone_number": "925-456-7600",
            "fax_number": "925-456-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504111",
            "telephone_number": "925-456-7600",
            "fax_number": "925-456-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDEEP SIDHU DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-456-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Line Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Lynne Maguire, PHARMD
• Arshian Mahajan, M.D.
• Mehvish Mahmood, M.D.
• Mancini's Sleepworld, Inc
• Oanh Nguyen Mandal, M.D.
• Jared Maranon, DPT
• Thomas J Marcel, DDS
• Pauley Marcelin, RN
• Hemnishil Kumar Marella, DO
• Maria Paz S. David,D.M.D.,Inc. (Downtown Dental Practice of Maria Paz S. David,D.M.D.,Inc.)

• General Practice Dentistry in Livermore, CA
• Providers in Livermore, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.