Healthcare Provider Details

I. General information

NPI: 1417164526
Provider Name (Legal Business Name): HARMIT SEKHON I DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 01/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3585 ROUTE 9 N
FREEHOLD NJ
07728-2672
US

IV. Provider business mailing address

4 DAYBREAK CT
FARMINGDALE NJ
07727-3765
US

V. Phone/Fax

Practice location:
  • Phone: 732-780-7222
  • Fax:
Mailing address:
  • Phone: 732-751-9515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number20345
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: