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Export Provider Record NPI 1225702020
Jasleen KundlasDMD
Active
NPI Number1225702020
NPI TypeNPI-1 Individual
SpecialtyDentist, General Practice
Provider Details
NPI1225702020
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2021-08-04
Last Updated2022-09-28
Mailing Address1434 Hadley Cir Unit 213
Myrtle Beach, SC 29577-8223
United States
Phone: (607) 377-2645
📍 View Map
Primary Practice Address1209 N Retail Ct
Myrtle Beach, SC 29577-9626
United States
Phone: (843) 874-4060
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No122300000X – DentistVA0401417625
Yes1223G0001X – Dentist, General PracticeSCDGD10331
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About NPI 1225702020

Jasleen Kundlas DMD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1225702020. The primary specialty listed is Dentist, General Practice. The provider is located in Myrtle Beach, SC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-08-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1225702020?

NPI 1225702020 belongs to Jasleen Kundlas DMD, a Dentist, General Practice in Myrtle Beach, SC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1225702020 active?

The current status of NPI 1225702020 in the NPPES registry is Active. The record was last updated on 2022-09-28.

What specialty is NPI 1225702020?

NPI 1225702020 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1225702020?

You can verify NPI 1225702020 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1225702020?

The primary practice address on file for NPI 1225702020 is 1209 N Retail Ct, Myrtle Beach, SC 29577-9626. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1225702020 issued?

NPI 1225702020 was first issued (enumerated) on 2021-08-04. The NPPES record was last updated on 2022-09-28.

Practice Location Map

Jasleen Kundlas is located at 1209 N Retail Ct, Myrtle Beach, SC. Use the map below to find directions or verify the practice location.

📍 1209 N Retail Ct, Myrtle Beach, SC 29577-9626  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jasleen Kundlas. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1225702020. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist0401417625VA
Dentist, General PracticeDGD10331SC
Data Verified from CMS NPPES Last synced: 2026-07-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162