Healthcare Provider Details

I. General information

NPI: 1366068967
Provider Name (Legal Business Name): ROBIN SINGH WARAINCH DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 06/19/2020
Certification Date: 06/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2377 E MAIN ST STE 175
PLAINFIELD IN
46168-0015
US

IV. Provider business mailing address

1931 HUNTERS TRL
BROWNSBURG IN
46112-8483
US

V. Phone/Fax

Practice location:
  • Phone: 317-762-0733
  • Fax:
Mailing address:
  • Phone: 317-798-9076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12013394A
License Number StateIN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: