Provider Demographics
NPI:1538262902
Name:JOPPA PARTNERS PA DDS
Entity type:Organization
Organization Name:JOPPA PARTNERS PA DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:INDERJIT
Authorized Official - Middle Name:K
Authorized Official - Last Name:SEHDEV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-823-1413
Mailing Address - Street 1:219 WEST JOPPA RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MO
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-823-1413
Mailing Address - Fax:410-337-0668
Practice Address - Street 1:219 WEST JOPPA RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MO
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-823-1413
Practice Address - Fax:410-337-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD100041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty