Provider Demographics
NPI:1891847653
Name:SINGLA, SANDEEP (DDS,MD)
Entity Type:Individual
Prefix:DR
First Name:SANDEEP
Middle Name:
Last Name:SINGLA
Suffix:
Gender:M
Credentials:DDS,MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FARMSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-1291
Mailing Address - Country:US
Mailing Address - Phone:518-209-0524
Mailing Address - Fax:
Practice Address - Street 1:2055 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6297
Practice Address - Country:US
Practice Address - Phone:973-595-5455
Practice Address - Fax:973-595-5959
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047986-11223S0112X
NJ22DI023363001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery