HARDEEP K SIDHU DDS A PROFESSIONAL DENTAL CORPORATION (NPI# 1497218705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497218705 |
| Entity Type | Organization |
| Organization Name | HARDEEP K SIDHU DDS A PROFESSIONAL DENTAL CORPORATION |
| Practice Address |
729 Sunrise Ave Ste 200 Roseville CA 95661-4504 |
| Practice Telephone | 9169537975 |
| Practice Fax Number | 9169537987 |
| Mailing Telephone | 9169537975 |
| Mailing Fax Number | 9169537987 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | MRS. HARDEEP SIDHU (OWNER) |
| Authorized Official Telephone | 9169537975 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Smile & Shine Dental Practice of Dr. Sidhu | Doing Business As Name - Organization |
| Street Address |
729 SUNRISE AVE STE 200 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194881888 | Robert Addison Mcauley | Physical Medicine & Rehabilitation | 729 Sunrise Ave Ste 200, Roseville, CA 95661-4504 | 2006-12-28 |
| 1174043129 | Javidan Urology, Inc | Urology | 729 Sunrise Ave Ste 200, Roseville, CA 95661-4504 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935916 | Michael J. Petersen, D.d.s., P.a. | Clinic/Center | 3101 Old Highway 8 Ste 303, Roseville, MN 55113-1076 | 2020-06-05 |
| 1346873288 | Van De Vyver Dental, P.C. | Clinic/Center | 25810 Kelly Rd Ste 2, Roseville, MI 48066-4467 | 2020-02-19 |
| 1518510643 | Ardalan Keshtkar Dds Inc | Clinic/Center | 10 Sierra Gate Plz Ste 130, Roseville, CA 95678-6646 | 2019-07-18 |
| 1659880805 | Gurkamal Sandhu Dds, Inc. | Clinic/Center | 1895 E Roseville Pkwy Ste 100, Roseville, CA 95661-7977 | 2017-09-20 |
| 1457875809 | Khs Pannu Dds Inc | Clinic/Center | 1950 Douglas Blvd Ste B1, Roseville, CA 95661-3827 | 2017-07-27 |
| 1801248950 | Baban Dhariwal Dds Pa Inc | Clinic/Center | 6049 Douglas Blvd Ste 9, Roseville, CA 95746-6249 | 2016-07-12 |
| 1972610046 | Donald E. Clarke, D.d.s., Inc. | Clinic/Center | 2200 Professional Dr, Suite 210, Roseville, CA 95661-7763 | 2006-08-24 |
| 1497352363 | David A. Susko, Dds | Clinic/Center | 20737 E 13 Mile Rd, Roseville, MI 48066-4503 | 2020-10-05 |
| 1396385175 | Bosch Dental Pllc | Clinic/Center | 2680 Snelling Ave N, Roseville, MN 55113-1876 | 2020-01-09 |
| 1790320265 | Richard B Knight Dds Ms Inc | Clinic/Center | 2520 Douglas Blvd Ste 130, Roseville, CA 95661-3993 | 2019-11-08 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on HARDEEP K SIDHU DDS A PROFESSIONAL DENTAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.