Healthcare Provider Details

I. General information

NPI: 1861786071
Provider Name (Legal Business Name): SARBJIT KAUR THIND D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8881 GOVERNORS HILL DR
CINCINNATI OH
45249-1337
US

IV. Provider business mailing address

8881 GOVERNORS HILL DR
CINCINNATI OH
45249-1337
US

V. Phone/Fax

Practice location:
  • Phone: 513-912-3100
  • Fax: 513-436-3100
Mailing address:
  • Phone: 513-912-3100
  • Fax: 513-436-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.023792
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.028615
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: