Provider Demographics
NPI:1932308459
Name:SINGH, NITU (DMD)
Entity Type:Individual
Prefix:DR
First Name:NITU
Middle Name:
Last Name: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 1:10 CAMELOT CT
Mailing Address - Street 2:UNIT 2L
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-6141
Mailing Address - Country:US
Mailing Address - Phone:312-972-4922
Mailing Address - Fax:
Practice Address - Street 1:73 WINTHROP AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2836
Practice Address - Country:US
Practice Address - Phone:978-725-6585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18567681223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics