Provider Demographics
NPI:1942450838
Name:SINGH, SAMEEN (DMD)
Entity Type:Individual
Prefix:
First Name:SAMEEN
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14248 87TH CT NE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-5042
Mailing Address - Country:US
Mailing Address - Phone:954-647-4726
Mailing Address - Fax:
Practice Address - Street 1:14248 87TH CT NE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-5042
Practice Address - Country:US
Practice Address - Phone:954-647-4726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60028780122300000X
CADDS57158122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist