Provider Demographics
NPI:1417574757
Name:SINGH, SOLEIL ANAR (DDS)
Entity Type:Individual
Prefix:
First Name:SOLEIL
Middle Name:ANAR
Last Name:SINGH
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 1:141 N JEFFERSON ST APT 503
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-6161
Mailing Address - Country:US
Mailing Address - Phone:616-745-8728
Mailing Address - Fax:
Practice Address - Street 1:7740 S LOVERS LANE RD STE 450
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-2212
Practice Address - Country:US
Practice Address - Phone:414-529-5330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1858681122300000X
WI6001367-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist