Healthcare Provider Details

I. General information

NPI: 1679722078
Provider Name (Legal Business Name): HARPREET SINGH TIWANA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8231 E STOCKTON BLVD STE C
SACRAMENTO CA
95828-8202
US

IV. Provider business mailing address

8231 E STOCKTON BLVD STE C
SACRAMENTO CA
95828-8202
US

V. Phone/Fax

Practice location:
  • Phone: 916-368-3080
  • Fax: 916-405-6551
Mailing address:
  • Phone: 916-368-3080
  • Fax: 916-405-6551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number053970-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number61181
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: