Healthcare Provider Details

I. General information

NPI: 1639034390
Provider Name (Legal Business Name): JASKIRAN KAUR NAT DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 VINTON ST STE 200
OMAHA NE
68108-1921
US

IV. Provider business mailing address

13580 SEVILLA LN
SARATOGA CA
95070-4858
US

V. Phone/Fax

Practice location:
  • Phone: 531-541-0810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8168
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: