MEDICARE: SIMRANJIT KAUR DDS

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	1223P0221X	Pediatric Dentistry	065158	NY

General Provider Information

NPI Number	:	1881394450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMRANJIT KAUR DDS

Provider Business Mailing Address
First Line	:	817 DOUGHTY AVE
Second Line	:
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010-3215
Country	:	US
Telephone Number	:	646-464-4356
Fax Number	:

Provider Business Practice Location Address
First Line	:	370 ATLANTIC AVE
Second Line	:
City	:	FREEPORT
State	:	NY
Zip	:	11520-4245
Country	:	US
Telephone Number	:	516-345-3031
Fax Number	:

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

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	02/21/2026

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