Sandhu Phagura Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SANDHU PHAGURA DENTAL CORPORATION

Practice address

412 S Main St
Milpitas, CA 95035-5319

Phone

(408) 809-9500

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Roop Phagura

Title

Secretary

Phone

(510) 323-3704

Specialties & licenses 3

Addresses

Other names 1

• Mobile Dental Doing business as

Locations

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1265037444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355319",
            "telephone_number": "408-809-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355319",
            "telephone_number": "408-809-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHU PHAGURA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "PHAGURA",
        "authorized_official_first_name": "ROOP",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "510-323-3704"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rona Marie Tuason Samonte, CMT
• Carla Christina Sanchez
• Jacklyn Margaret Sanchez
• Melissa-Gayle M Sanchez, M.D.
• Sandhu Pande Dental Corporation
• Prabhjot Kaur Sandhu, M.D.
• Yolanda Lavitoria Santiago-Padlan
• Olena Sappa, LICENSED MARRIAGE AN
• Patricia Slovik Saso, M.S.
• Satellite Healthcare Inc

• Dental Clinic/Center in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.