SANJAY BHATT DDS MD NPI 1124403407

NPI Information

NPI: 1124403407
Provider Name: SANJAY BHATT, DDS, MD
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 883 NE MAIN ST
SIMPSONVILLE, SC
ZIP 29681
Phone: (864) 756-1060

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NPI Details

Sanjay Bhatt, DDS, MD is an oral and maxillofacial surgery dentist in Simpsonville, SC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Sanjay Bhatt, DDS, MD NPI is 1124403407. 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:

883 NE MAIN ST
SIMPSONVILLE, SC
ZIP 29681-051
Phone: (864) 756-1060

The NPI 1124403407 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 7/28/2015 and was last updated on 11/7/2022.

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	390200000X	Student in an Organized Health Care Education/Training Program		ETN338	TEXAS	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	10265	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ETN338	OTHER	TEXAS	TEXAS STATE BOARD OF DENTAL EXAMINERS

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: 3/30/2025

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