Provider Demographics
NPI:1720743560
Name:SUKHDEV SINGH DMD AND ASSOCIATES PLLC
Entity Type:Organization
Organization Name:SUKHDEV SINGH DMD AND ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENITST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUKHDEV
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-201-0535
Mailing Address - Street 1:302 CENTRAL ST # 1
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-2389
Mailing Address - Country:US
Mailing Address - Phone:781-233-0344
Mailing Address - Fax:
Practice Address - Street 1:302 CENTRAL ST # 1
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-2389
Practice Address - Country:US
Practice Address - Phone:781-233-0344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-06
Last Update Date:2021-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA10537152Medicaid