Provider Demographics
NPI:1306519566
Name:BHANDARI, SAJITA SINGH
Entity type:Individual
Prefix:
First Name:SAJITA
Middle Name:SINGH
Last Name:BHANDARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N OLD ORCHARD LN APT 336
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3486
Mailing Address - Country:US
Mailing Address - Phone:248-250-4941
Mailing Address - Fax:
Practice Address - Street 1:1204 N JOSEY LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-6117
Practice Address - Country:US
Practice Address - Phone:972-428-0001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-25
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37340122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist