MEDICARE: DR. GAGANDEEP SINGH BHULLAR DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DDS103418	CA

General Provider Information

NPI Number	:	1073071965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAGANDEEP SINGH BHULLAR DDS

Provider Business Mailing Address
First Line	:	7090 N CEDAR AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-3300
Country	:	US
Telephone Number	:	559-324-9494
Fax Number	:

Provider Business Practice Location Address
First Line	:	7090 N CEDAR AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-3300
Country	:	US
Telephone Number	:	559-324-9494
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2019
Last Update Date	:	02/12/2026

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