Healthcare Provider Details

I. General information

NPI: 1215856307
Provider Name (Legal Business Name): PAUL H SINGH DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 E MARCH LN
STOCKTON CA
95210-4535
US

IV. Provider business mailing address

3159 NEEDHAM AVE
LATHROP CA
95330-9832
US

V. Phone/Fax

Practice location:
  • Phone: 206-802-4852
  • Fax:
Mailing address:
  • Phone: 206-802-4852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: HARINDER SINGH
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 206-802-4852