Provider Demographics
NPI:1679703870
Name:SINGH, MANPUNEET (DDS)
Entity Type:Individual
Prefix:
First Name:MANPUNEET
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 BRADFORD WALK
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053
Mailing Address - Country:US
Mailing Address - Phone:347-307-6691
Mailing Address - Fax:
Practice Address - Street 1:131 MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:CT
Practice Address - Zip Code:06787
Practice Address - Country:US
Practice Address - Phone:860-283-9700
Practice Address - Fax:860-283-0419
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT100541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice