Provider Demographics
NPI:1598089252
Name:DENTIST IN THE SKY
Entity Type:Organization
Organization Name:DENTIST IN THE SKY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSHJOT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:AHUJA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-456-5089
Mailing Address - Street 1:405 LEXINGTON AVE
Mailing Address - Street 2:SUITE # 6900
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10174-0002
Mailing Address - Country:US
Mailing Address - Phone:212-661-2603
Mailing Address - Fax:
Practice Address - Street 1:405 LEXINGTON AVE
Practice Address - Street 2:SUITE # 6900
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10174-0002
Practice Address - Country:US
Practice Address - Phone:212-661-2603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0542471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty