Provider Demographics
NPI:1891407912
Name:SINHA, SIDDHI (DMD)
Entity Type:Individual
Prefix:
First Name:SIDDHI
Middle Name:
Last Name:SINHA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SIDDHI
Other - Middle Name:
Other - Last Name:SINHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:4716 CASH DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4340
Mailing Address - Country:US
Mailing Address - Phone:269-276-6555
Mailing Address - Fax:
Practice Address - Street 1:9753 WEBB CHAPEL RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-3578
Practice Address - Country:US
Practice Address - Phone:214-350-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX391411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice