Provider Demographics
NPI:1720596737
Name:BHANDAL, SUKHMANDEEP KAUR (DMD)
Entity type:Individual
Prefix:DR
First Name:SUKHMANDEEP
Middle Name:KAUR
Last Name:BHANDAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 LEAHAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-1866
Mailing Address - Country:US
Mailing Address - Phone:313-240-2298
Mailing Address - Fax:
Practice Address - Street 1:4403 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7253
Practice Address - Country:US
Practice Address - Phone:501-270-7133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4539122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist