Healthcare Provider Details

I. General information

NPI: 1013838358
Provider Name (Legal Business Name): JASPAL SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3592 E COMMERCE WAY
SACRAMENTO CA
95834-4076
US

IV. Provider business mailing address

3592 E COMMERCE WAY
SACRAMENTO CA
95834-4076
US

V. Phone/Fax

Practice location:
  • Phone: 916-261-5360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113609
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: