Provider Demographics
NPI:1942669874
Name:SINGH, RANBIR (DMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RANBIR
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11350 W ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-3420
Mailing Address - Country:US
Mailing Address - Phone:623-399-2633
Mailing Address - Fax:
Practice Address - Street 1:1579 N DYSART RD STE F
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-1221
Practice Address - Country:US
Practice Address - Phone:623-935-9873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-20
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ99791223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry