Provider Demographics
NPI:1780914622
Name:SINGH, MAHIMA (BDS, DDS)
Entity type:Individual
Prefix:DR
First Name:MAHIMA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:BDS, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:AVON BY THE SEA
Mailing Address - State:NJ
Mailing Address - Zip Code:07717-1157
Mailing Address - Country:US
Mailing Address - Phone:732-775-1492
Mailing Address - Fax:
Practice Address - Street 1:514 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:AVON BY THE SEA
Practice Address - State:NJ
Practice Address - Zip Code:07717-1157
Practice Address - Country:US
Practice Address - Phone:732-775-1492
Practice Address - Fax:732-775-1498
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-27
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0370541223G0001X
NJ22DI029088001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral Practice