Organization Active NPI

Amandeep S. Sidhu Professional Corp

Doing business as Densley Dental

  • Dentist
  • Henderson, NV
National Provider Identifier
1295513919
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AMANDEEP S. SIDHU PROFESSIONAL CORP
Doing business as
Densley Dental
Practice address
8955 S Pecos Rd Ste 2a
Henderson, NV 89074-7157
Phone
(702) 212-6641
Fax
(702) 307-7969
NPI assigned
Sep 15, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Dr. Amandeep Sidhu, DDS
Title
Owner/Dentist
Phone
(702) 212-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

8955 S Pecos Rd Ste 2a
Henderson, NV 89074-7157

Mailing address

8955 S Pecos Rd Ste 2a
Henderson, NV 89074-7157
Phone (702) 212-6641

Other names 1

  • Densley Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8955 S Pecos Rd
Ste 2A
Henderson, NV 89074
Phone (702) 212-6641

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1295513919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 S PECOS RD STE 2A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747157",
            "telephone_number": "702-212-6641",
            "fax_number": "702-307-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 S PECOS RD STE 2A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747157",
            "telephone_number": "702-212-6641",
            "fax_number": "702-307-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDEEP S. SIDHU PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "702-212-6641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Densley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.