Healthcare Provider Details

I. General information

NPI: 1902258437
Provider Name (Legal Business Name): SHUBKARMAN SEKHON D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2016
Last Update Date: 06/29/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2430 SUITE 210 I-35E
DENTON TX
76210
US

IV. Provider business mailing address

5234 N O CONNOR BLVD APT 3501
IRVING TX
75039-5736
US

V. Phone/Fax

Practice location:
  • Phone: 940-202-0419
  • Fax:
Mailing address:
  • Phone: 214-770-1981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS040920
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number33312
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: