Provider Demographics
NPI:1558417634
Name:PRAMOD SINHA DDS MS
Entity Type:Organization
Organization Name:PRAMOD SINHA DDS MS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PRAMOD
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:509-736-2000
Mailing Address - Street 1:1410 N PITTSBURG ST
Mailing Address - Street 2:SUITE B2
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8211
Mailing Address - Country:US
Mailing Address - Phone:509-736-2000
Mailing Address - Fax:
Practice Address - Street 1:1410 N PITTSBURG ST
Practice Address - Street 2:SUITE B2
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-8211
Practice Address - Country:US
Practice Address - Phone:509-736-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000081021223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty