# DR. POONAM GAT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1497002687
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10825 | CT | Yes |
| 1223G0001X | General Practice Dentistry | 057868-1 | NY | — |
| 1223G0001X | General Practice Dentistry | 22DI02516600 | NJ | — |

## Other

- **Enumeration date:** 08/07/2012
- **Last updated:** 11/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008042072 | — | CT |
| 05 | — | 0439568 | — | NJ |