Provider Demographics
NPI:1801315106
Name:SHAILAJA SINGH DDS INC
Entity type:Organization
Organization Name:SHAILAJA SINGH DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAILAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-833-0020
Mailing Address - Street 1:385 W GRANT LINE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-2599
Mailing Address - Country:US
Mailing Address - Phone:209-833-0020
Mailing Address - Fax:
Practice Address - Street 1:385 W GRANT LINE RD STE 101
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-2599
Practice Address - Country:US
Practice Address - Phone:209-833-0020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-18
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty