Kamal Sandhu Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KAMAL SANDHU DENTAL CORPORATION

Practice address

1170 W 11TH St
Tracy, CA 95376-3721

Phone

(209) 839-1600

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Kamal Preet Kaur Sandhu

Title

Ceo

Phone

(734) 307-5948

Specialties & licenses 1

Addresses

Other names 1

• Brite Smiles Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamal Preet Kaur Sandhu, DDS

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1952827032
  NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1457073850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 N PERGOLA CT",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911306",
            "telephone_number": "734-307-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 W 11TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763721",
            "telephone_number": "209-839-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMAL SANDHU DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "KAMAL PREET KAUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-307-5948"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brite Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sowmya Kadaveru, MS, CCC-SLP
• Navtejpal Singh Kahlon, M.D
• Kaiser Foundation Health Plan Inc
• Liam Kaldes
• Ramanjot Kaler
• Marsala Karimi
• Shabnam Karimi
• Jaslin Kataria
• Katherine D Sanchez DDS Inc
• Stelios Katzakis, PA-C

• All providers in Tracy, CA
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.