Provider Demographics
NPI:1558904714
Name:GHS SINGH DDS LLC
Entity Type:Organization
Organization Name:GHS SINGH DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CABAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-920-2320
Mailing Address - Street 1:1130 FREMONT BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-5750
Mailing Address - Country:US
Mailing Address - Phone:831-920-2320
Mailing Address - Fax:831-920-2476
Practice Address - Street 1:663 LIGHTHOUSE AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-1007
Practice Address - Country:US
Practice Address - Phone:831-900-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL COAST DENTAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty