Healthcare Provider Details

I. General information

NPI: 1285248682
Provider Name (Legal Business Name): GAGANJOT KAUR KHERA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 E CALAVERAS BLVD
MILPITAS CA
95035-5412
US

IV. Provider business mailing address

292 APPIAN WAY
UNION CITY CA
94587-3706
US

V. Phone/Fax

Practice location:
  • Phone: 408-946-0777
  • Fax:
Mailing address:
  • Phone: 510-953-1276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number105431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: