Provider Demographics
NPI:1023494556
Name:SINGH, GURMEET (DDS)
Entity type:Individual
Prefix:DR
First Name:GURMEET
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7970 LANDER AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HILMAR
Mailing Address - State:CA
Mailing Address - Zip Code:95324-8350
Mailing Address - Country:US
Mailing Address - Phone:209-262-1819
Mailing Address - Fax:209-262-1817
Practice Address - Street 1:7970 LANDER AVE STE B
Practice Address - Street 2:
Practice Address - City:HILMAR
Practice Address - State:CA
Practice Address - Zip Code:95324-8350
Practice Address - Country:US
Practice Address - Phone:209-262-1819
Practice Address - Fax:209-262-1817
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA649221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice