# SAPPHIRE DENTAL HOME - ANDERSON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962117960
- **Authorized official:** PAWANDEEP KAUR (DDS)
- **Authorized official phone:** (732) 829-2316

## Contact information

- **Practice address:** 3822 FAIRVIEW DR, ANDERSON, IN 46013-4058
- **Practice address phone:** (765) 649-1212
- **Mailing address:** 3822 FAIRVIEW DR, ANDERSON, IN 46013-4058
- **Mailing address phone:** (765) 649-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2023
- **Last updated:** 04/10/2024