Healthcare Provider Details
I. General information
NPI: 1659294239
Provider Name (Legal Business Name): JASPREET KAUR DDS DENTAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2026
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
- Phone: 559-229-8200
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JASPREET
KAUR
Title or Position: DDS
Credential:
Phone: 209-324-0943