MEDICARE: SATPAL SHIKH D.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN-012847	GA

General Provider Information

NPI Number	:	1396962262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATPAL SHIKH D.M.D

Provider Business Mailing Address
First Line	:	220 RENAISSANCE PKWY NE
Second Line	:	#2117
City	:	ATLANTA
State	:	GA
Zip	:	30308-2339
Country	:	US
Telephone Number	:	678-772-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1745 HIGHWAY 138 SE STE C3
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-5710
Country	:	US
Telephone Number	:	770-393-9111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	07/08/2007

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