Provider Demographics
NPI:1295871382
Name:LALSINGH, CHAD WILLIAM KENNETH (DMD)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:WILLIAM KENNETH
Last Name:LALSINGH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 W PALMETTO PARK RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-3761
Mailing Address - Country:US
Mailing Address - Phone:561-368-9595
Mailing Address - Fax:561-368-9347
Practice Address - Street 1:240 W PALMETTO PARK RD
Practice Address - Street 2:SUITE 120
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3761
Practice Address - Country:US
Practice Address - Phone:561-368-9595
Practice Address - Fax:561-368-9347
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2008-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 163801223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics