Provider Demographics
NPI:1427257971
Name:KHALSA, SAT KARTAR KAUR (DDS)
Entity type:Individual
Prefix:DR
First Name:SAT KARTAR
Middle Name:KAUR
Last Name:KHALSA
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 1:404 E MINERAL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2611
Mailing Address - Country:US
Mailing Address - Phone:303-798-4400
Mailing Address - Fax:
Practice Address - Street 1:404 E MINERAL AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2611
Practice Address - Country:US
Practice Address - Phone:303-798-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002032671223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02926218Medicaid