Healthcare Provider Details

I. General information

NPI: 1487139127
Provider Name (Legal Business Name): RUPINDER KAUR MULTANI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2018
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDWAY RD
MILFORD MA
01757-2923
US

IV. Provider business mailing address

18 CRAFTSMAN CT
SOUTH GRAFTON MA
01560-0086
US

V. Phone/Fax

Practice location:
  • Phone: 508-478-2131
  • Fax:
Mailing address:
  • Phone: 724-234-8887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1858149
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: