MEDICARE: TEJINDER DHERI 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	122300000X	Dentist	DS040487	PA
2	122300000X	Dentist	63013	CA

General Provider Information

NPI Number	:	1487039509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEJINDER DHERI DDS

Provider Business Mailing Address
First Line	:	3375 BRANDYWINE CT
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-9077
Country	:	US
Telephone Number	:	530-755-6087
Fax Number	:

Provider Business Practice Location Address
First Line	:	1047 LIVE OAK BLVD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-3443
Country	:	US
Telephone Number	:	530-673-7171
Fax Number	:

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

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	03/04/2020

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Directions to “ TEJINDER DHERI DDS” Practice Location

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