Healthcare Provider Details
I. General information
NPI: 1285786863
Provider Name (Legal Business Name): NAVJOT S KHURANA DMD, PS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/17/2007
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 W YAKIMA VALLEY HWY
SUNNYSIDE WA
98944
US
IV. Provider business mailing address
110 W YAKIMA VALLEY HWY
SUNNYSIDE WA
98944-1352
US
V. Phone/Fax
- Phone: 509-348-2020
- Fax: 786-634-5672
- Phone: 509-348-2020
- Fax: 509-946-0544
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223E0200X |
| Taxonomy | Endodontics |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 9717 |
| License Number State | WA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0300X |
| Taxonomy | Periodontics |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223S0112X |
| Taxonomy | Oral and Maxillofacial Surgery (Dentist) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAVJOT
S
KHURANA
Title or Position: PRESIDENT
Credential: DMD
Phone: 509-348-2020