Provider Demographics
NPI:1174507230
Name:ARORA, TARVINDER PAL SINGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:TARVINDER PAL
Middle Name:SINGH
Last Name:ARORA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HEMINGWAY AVE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512
Mailing Address - Country:US
Mailing Address - Phone:203-469-5644
Mailing Address - Fax:203-469-1067
Practice Address - Street 1:300 HEMINGWAY AVE
Practice Address - Street 2:STE #3
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512
Practice Address - Country:US
Practice Address - Phone:203-469-5644
Practice Address - Fax:203-469-1067
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0000311223G0001X
CT0096821223G0001X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02698662Medicaid
CT008002020Medicaid