Provider Demographics
NPI:1184070732
Name:SINGH, MANDEEP (DDS)
Entity type:Individual
Prefix:DR
First Name:MANDEEP
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 DEBBIE LN
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1606
Mailing Address - Country:US
Mailing Address - Phone:732-991-4846
Mailing Address - Fax:
Practice Address - Street 1:335 PRINCETON HIGHTSTOWN RD UNIT 25
Practice Address - Street 2:
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-3121
Practice Address - Country:US
Practice Address - Phone:609-779-2054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2019-12-25
Deactivation Date:2019-12-18
Deactivation Code:
Reactivation Date:2019-12-23
Provider Licenses
StateLicense IDTaxonomies
NJ22DI026440001223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice