Provider Demographics
NPI:1255004735
Name:SINGH, MANPREET
Entity Type:Individual
Prefix:DR
First Name:MANPREET
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 EMILY WAY
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5646
Mailing Address - Country:US
Mailing Address - Phone:559-674-4545
Mailing Address - Fax:559-661-6082
Practice Address - Street 1:816 EMILY WAY
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5646
Practice Address - Country:US
Practice Address - Phone:559-674-4545
Practice Address - Fax:559-661-6082
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106404122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist