Provider Demographics
NPI:1386197234
Name:SEERA, SUKHMANJIT SINGH (DDS)
Entity Type:Individual
Prefix:
First Name:SUKHMANJIT
Middle Name:SINGH
Last Name:SEERA
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 1:18 SCONTICUT NECK RD
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-1914
Mailing Address - Country:US
Mailing Address - Phone:774-202-3192
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:774-202-3192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857360122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist