Provider Demographics
NPI:1750715389
Name:UPPAL, RUPINDER KAUR (DDS)
Entity type:Individual
Prefix:
First Name:RUPINDER
Middle Name:KAUR
Last Name:UPPAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:RUPINDER
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12420 WARWICK BLVD
Mailing Address - Street 2:1A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3001
Mailing Address - Country:US
Mailing Address - Phone:757-595-6224
Mailing Address - Fax:
Practice Address - Street 1:12420 WARWICK BLVD
Practice Address - Street 2:1A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3001
Practice Address - Country:US
Practice Address - Phone:757-595-6224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414005122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist