Provider Demographics
NPI:1417574757
Name:SINGH, SOLEIL ANAR (DDS)
Entity type:Individual
Prefix:
First Name:SOLEIL
Middle Name:ANAR
Last Name:SINGH
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 FLOWERS MILL CT NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-9696
Mailing Address - Country:US
Mailing Address - Phone:616-745-8728
Mailing Address - Fax:
Practice Address - Street 1:348 WILSON AVE NW
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:MI
Practice Address - Zip Code:49534-3555
Practice Address - Country:US
Practice Address - Phone:616-317-2485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1858681122300000X
WI6001367-15122300000X
MI2901602466122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist