Provider Demographics
NPI:1780121855
Name:SINGH, SANDEEP (DDS)
Entity type:Individual
Prefix:DR
First Name:SANDEEP
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 1:200 EAST, 32ND STREET
Mailing Address - Street 2:APT 20E ATTN: RAKESH KUMAR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:347-327-1601
Mailing Address - Fax:
Practice Address - Street 1:200 E 32ND ST,
Practice Address - Street 2:APT 20E ATTN: RAKESH KUMAR
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:347-327-1601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT016.0126630122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist