Healthcare Provider Details

I. General information

NPI: 1558409094
Provider Name (Legal Business Name): SATNAM S BEDI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10481 SPRING HILL DR
SPRING HILL FL
34608-5045
US

IV. Provider business mailing address

10481 SPRING HILL DR
SPRING HILL FL
34608-5045
US

V. Phone/Fax

Practice location:
  • Phone: 352-683-1845
  • Fax: 352-683-2111
Mailing address:
  • Phone: 352-683-1845
  • Fax: 352-683-2111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN 007167
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: