Healthcare Provider Details

I. General information

NPI: 1174352850
Provider Name (Legal Business Name): GURJOT KAUR BHATIA DDS, MS, BDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 IKEA CT STE 130
WEST SACRAMENTO CA
95605-1663
US

IV. Provider business mailing address

3619 7TH AVE
SACRAMENTO CA
95817-3220
US

V. Phone/Fax

Practice location:
  • Phone: 916-839-4983
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS113108
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: