Healthcare Provider Details

I. General information

NPI: 1699510842
Provider Name (Legal Business Name): NAVPREET SINGH BEDI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 TRANCAS ST STE A
NAPA CA
94558-2964
US

IV. Provider business mailing address

4501 BUSINESS CENTER DR UNIT 1301
FAIRFIELD CA
94534-6915
US

V. Phone/Fax

Practice location:
  • Phone: 707-226-5533
  • Fax:
Mailing address:
  • Phone: 778-970-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number110140
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: