Healthcare Provider Details

I. General information

NPI: 1740018597
Provider Name (Legal Business Name): ONKAR DENTAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 TYLER ST
PITTSFIELD MA
01201-4237
US

IV. Provider business mailing address

12 BRIGHAM ST
SOUTHBOROUGH MA
01772-1408
US

V. Phone/Fax

Practice location:
  • Phone: 413-359-4300
  • Fax:
Mailing address:
  • Phone: 716-783-1780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GURLEEN SOHI
Title or Position: DENTIST
Credential: DMD
Phone: 413-358-4300