Healthcare Provider Details

I. General information

NPI: 1679709448
Provider Name (Legal Business Name): NAVNEET KAUR SEKHON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2009
Last Update Date: 01/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12917 SE 38TH ST STE 206
BELLEVUE WA
98006-1349
US

IV. Provider business mailing address

12917 SE 38TH ST STE 206
BELLEVUE WA
98006-1349
US

V. Phone/Fax

Practice location:
  • Phone: 425-641-2960
  • Fax:
Mailing address:
  • Phone: 425-641-2960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number0401412479
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number60409721
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number60409721
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: