Provider Demographics
NPI:1104963313
Name:KAUR, HARPREET (DDS)
Entity type:Individual
Prefix:MRS
First Name:HARPREET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 E VERMILION BLVD
Mailing Address - Street 2:
Mailing Address - City:COOK
Mailing Address - State:MN
Mailing Address - Zip Code:55723-9719
Mailing Address - Country:US
Mailing Address - Phone:530-566-4102
Mailing Address - Fax:
Practice Address - Street 1:SCENIC RIVER HEALTH SERVICES
Practice Address - Street 2:20 FIFTH ST SE
Practice Address - City:COOK
Practice Address - State:MN
Practice Address - Zip Code:55723-9719
Practice Address - Country:US
Practice Address - Phone:218-666-5102
Practice Address - Fax:218-666-5099
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12139122300000X
CA602691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist