Provider Demographics
NPI:1275217887
Name:SINGH, HARKIRAT (DDS, MPH, BDS)
Entity Type:Individual
Prefix:DR
First Name:HARKIRAT
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DDS, MPH, BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4190 108TH AVE NE STE 130
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-7441
Mailing Address - Country:US
Mailing Address - Phone:763-201-1502
Mailing Address - Fax:763-290-6806
Practice Address - Street 1:4190 108TH AVE NE STE 130
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-7441
Practice Address - Country:US
Practice Address - Phone:763-201-1502
Practice Address - Fax:763-290-6806
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND149131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice