Provider Demographics
NPI:1215026562
Name:UPPAL, NARINDER P (DDS)
Entity Type:Individual
Prefix:DR
First Name:NARINDER
Middle Name:P
Last Name:UPPAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25107 NARBONNE AVE
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-2119
Mailing Address - Country:US
Mailing Address - Phone:310-539-8392
Mailing Address - Fax:310-539-5605
Practice Address - Street 1:25107 NARBONNE AVE
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-2119
Practice Address - Country:US
Practice Address - Phone:310-539-8392
Practice Address - Fax:310-539-5605
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA260081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA94580-2OtherDENTAL BENEFIT PROVIDERS
CAD-140437OtherCIGNA HMO
CADN72OtherSMILESAVER
CA131501OtherDELTACARE
CAB-26008 (01)OtherDENTI-CAL
CA01499OtherWESTERN DENTAL
CA618OtherPACIFICARE
CA26820OtherAETNA
CA1556OtherSAFEGUARD
CA963442OtherUNITED CONCORDIA
CAB-26008 (02)OtherDENTI-CAL