Provider Demographics
NPI:1568150605
Name:RUPINDER UPPAL DDS PLLC
Entity Type:Organization
Organization Name:RUPINDER UPPAL DDS PLLC
Other - Org Name:GAINESVILLE KIDS & FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUPINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:UPPAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-846-4923
Mailing Address - Street 1:25747 RAWLEY SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-5744
Mailing Address - Country:US
Mailing Address - Phone:917-846-4923
Mailing Address - Fax:
Practice Address - Street 1:7220 HERITAGE VILLAGE PLZ
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3073
Practice Address - Country:US
Practice Address - Phone:917-846-4923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty