Healthcare Provider Details

I. General information

NPI: 1356016513
Provider Name (Legal Business Name): NAVNEET KAUR SEKHA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 06/25/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9455 W GLENDALE AVE
GLENDALE AZ
85305-2572
US

IV. Provider business mailing address

10664 N 140TH WAY
SCOTTSDALE AZ
85259-5501
US

V. Phone/Fax

Practice location:
  • Phone: 602-466-3001
  • Fax:
Mailing address:
  • Phone: 201-600-7239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberD012026
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI02858900
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012026
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: