Healthcare Provider Details

I. General information

NPI: 1801702022
Provider Name (Legal Business Name): HEMANI KAUR DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 THOMAS JOHNSON DR STE 6
FREDERICK MD
21702-4440
US

IV. Provider business mailing address

198 THOMAS JOHNSON DR STE 6
FREDERICK MD
21702-4440
US

V. Phone/Fax

Practice location:
  • Phone: 203-559-1025
  • Fax:
Mailing address:
  • Phone: 203-559-1025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SANJEEV BHATIA
Title or Position: MEMBER
Credential: DDS
Phone: 203-559-1025