Provider Demographics
NPI:1265594808
Name:SINGH, PARAMJIT (DDS)
Entity type:Individual
Prefix:DR
First Name:PARAMJIT
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 1:4598 S TRACY BLVD
Mailing Address - Street 2:SUITE # 150
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-8107
Mailing Address - Country:US
Mailing Address - Phone:209-221-6666
Mailing Address - Fax:209-221-7002
Practice Address - Street 1:4598 S TRACY BLVD
Practice Address - Street 2:SUITE # 150
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95377-8107
Practice Address - Country:US
Practice Address - Phone:209-221-6666
Practice Address - Fax:209-221-7002
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA471821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice