Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629955570 Individual Practitioner Female Practitioner

Dr. Ishdeep Kaur , DDS

Dentist - General Practice • Lodi, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ishdeep Kaur, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lodi, CA. Practice services are available at 2610 REYNOLDS RANCH PKWY STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2610 Reynolds Ranch Pkwy Ste 100

Lodi, CA 952406890

Telephone 4086148715

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lodi, CA

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

Practicing in Lodi, 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: 2025-08-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA DDS112011

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Sonny Maharjan

Dentist - General Practice

NPI 1033999404
NPI 1336926906

Doctor of Dental Medicine

Dr. Janice Park , DMD

Dentist - General Practice

NPI 1497675235

Doctor of Dental Medicine

Dr. Ahmed Al-Bayatti , DDS

Dentist - General Practice

NPI 1720788136

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2025

Registered at 2610 REYNOLDS RANCH PKWY STE 100, LODI, CA 952406890 (Tel: 4086148715)

📍
Updated Business Mailing Address August 20, 2025

Registered at 3629 BARTON ST, TRACY, CA 953778018 (Tel: 4086148715)

👤
Provider Name / Credentials Updated August 20, 2025

Recorded as ISHDEEP KAUR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2025

Dentist (License #DDS112011 in CA)

🟢
Initial NPI Registration & Enumeration August 20, 2025

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: 1629955570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2025
Last Update: August 20, 2025
Sole Proprietor: No

Mailing Address

3629 Barton St

Tracy, CA 953778018

Phone: 4086148715

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.