JASDEEP SINGH GURAM DMD NPI 1114587987

NPI Information

NPI: 1114587987
Provider Name: JASDEEP SINGH GURAM, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
169 ASHLEY AVE RM 202
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-9301
Get Directions

Jasdeep Singh Guram, DMD is a pediatric dentistry dentist in Charleston, SC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Jasdeep Singh Guram, DMD NPI is 1114587987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

169 ASHLEY AVE RM 202
CHARLESTON, SC
ZIP 29425-905
Phone: (843) 792-9301

The NPI 1114587987 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/14/2019 and was last updated on 3/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DN24113	FLORIDA	No
2	1223P0221X	Dentist	Pediatric Dentistry	9780	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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