Provider Demographics
NPI:1578008884
Name:SINGH, SHILPA (BDS)
Entity Type:Individual
Prefix:
First Name:SHILPA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 LAC KINE DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5607
Mailing Address - Country:US
Mailing Address - Phone:919-274-0305
Mailing Address - Fax:
Practice Address - Street 1:59 LAC KINE DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5607
Practice Address - Country:US
Practice Address - Phone:919-274-0305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTBD122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist