Provider Demographics
NPI:1275041493
Name:SIGNA DENTAL CARE
Entity Type:Organization
Organization Name:SIGNA DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUKHMANJIT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SEERA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-443-7671
Mailing Address - Street 1:3865 N MAIN ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-1673
Mailing Address - Country:US
Mailing Address - Phone:201-443-7671
Mailing Address - Fax:
Practice Address - Street 1:18 SCONTICUT NECK RD
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-1914
Practice Address - Country:US
Practice Address - Phone:201-443-7671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857360261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental