Healthcare Provider Details

I. General information

NPI: 1851216576
Provider Name (Legal Business Name): JASPREET SINGH BAATH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 5TH AVE
OROVILLE CA
95965-5815
US

IV. Provider business mailing address

2008 CUMMINS PL
WOODLAND CA
95776-5592
US

V. Phone/Fax

Practice location:
  • Phone: 530-718-9994
  • Fax:
Mailing address:
  • Phone: 530-718-9994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: