Provider Demographics
NPI:1851019368
Name:PRAKASH-SINGH, SEEMA RESHMI (DMD)
Entity Type:Individual
Prefix:
First Name:SEEMA
Middle Name:RESHMI
Last Name:PRAKASH-SINGH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962 HIGHLAND RD W
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-8147
Mailing Address - Country:US
Mailing Address - Phone:559-375-0260
Mailing Address - Fax:
Practice Address - Street 1:184 S MADERA AVE
Practice Address - Street 2:
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-1102
Practice Address - Country:US
Practice Address - Phone:559-846-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107779122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist