Provider Demographics
NPI:1396089686
Name:SUKHJINDER THIND, DDS, PC
Entity type:Organization
Organization Name:SUKHJINDER THIND, DDS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUKHJINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:THIND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-398-0878
Mailing Address - Street 1:806 E KENSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-6215
Mailing Address - Country:US
Mailing Address - Phone:847-398-0878
Mailing Address - Fax:
Practice Address - Street 1:806 E KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-6215
Practice Address - Country:US
Practice Address - Phone:847-398-0878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019026418122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty