Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972214955 Individual Practitioner Female Practitioner

Rajdeep Kaur

Dentist - General Practice • Clovis, CA

Professional Overview & Biography Verified Profile Summary

Rajdeep Kaur is a registered healthcare professional specializing in Dentist - General Practice in Clovis, CA. Practice services are available at 255 W BULLARD AVE STE 119 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 W Bullard Ave Ste 119

Clovis, CA 936120861

Telephone 5596282255
Associated Practice Facility / Clinic
🏢 Kaur Smiles Dental Corp Facility NPI 1821934282

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clovis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
36 Specialists

Practicing in Clovis, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 108419

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License CA 108419

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist

NUCC Taxonomy Code: 122300000X

State License CA 108419

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100355339 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2026

Dentist (License #108419 in CA)

📍
Updated Practice Location April 28, 2026

Registered at 255 W BULLARD AVE STE 119, CLOVIS, CA 936120861 (Tel: 5594291992)

📍
Updated Business Mailing Address April 28, 2026

Registered at PO BOX 2098, CLOVIS, CA 936132098

📍
Updated Practice Location January 21, 2025

Registered at 255 W BULLARD AVE STE 106, CLOVIS, CA 936120861 (Tel: 5592983384)

📍
Updated Practice Location July 31, 2023

Registered at 4901 E KINGS CANYON RD, FRESNO, CA 937273812 (Tel: 8665928129)

NPI Profile Active December 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2022

Registered at 6143 W GOUX AVE, FRESNO, CA 937228531 (Tel: 5597536949)

📍
Updated Business Mailing Address December 09, 2022

Registered at 6143 W GOUX AVE, FRESNO, CA 937228531 (Tel: 5597536949)

👤
Provider Name / Credentials Updated December 09, 2022

Recorded as RAJDEEP KAUR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2022

Dentist (License #108419 in CA)

🟢
Initial NPI Registration & Enumeration December 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972214955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2022
Last Update: July 08, 2026
Sole Proprietor: No

Mailing Address

Po Box 2098

Clovis, CA 936132098

Phone: 5596282255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.