Provider Demographics
NPI:1205456696
Name:SINGH SMILE STUDIO PLLC
Entity type:Organization
Organization Name:SINGH SMILE STUDIO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRABHNAVROOP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:CHATHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-960-0812
Mailing Address - Street 1:2309 DARTFORD BND
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4331
Mailing Address - Country:US
Mailing Address - Phone:512-960-0812
Mailing Address - Fax:
Practice Address - Street 1:16051 DESSAU RD STE B
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-5826
Practice Address - Country:US
Practice Address - Phone:512-960-0812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-26
Last Update Date:2020-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental