Healthcare Provider Details

I. General information

NPI: 1851158406
Provider Name (Legal Business Name): DR. JASPREET KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6115 N 1ST ST STE 102
FRESNO CA
93710-5450
US

IV. Provider business mailing address

327 S FORDHAM AVE
FRESNO CA
93727-3474
US

V. Phone/Fax

Practice location:
  • Phone: 559-229-8200
  • Fax:
Mailing address:
  • Phone: 209-324-0943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number12014506A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS112849
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: