Healthcare Provider Details

I. General information

NPI: 1316864002
Provider Name (Legal Business Name): SPRING DENTAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CONGRESS ST STE 2E
QUINCY MA
02169-0960
US

IV. Provider business mailing address

500 CONGRESS ST STE 2E
QUINCY MA
02169-0960
US

V. Phone/Fax

Practice location:
  • Phone: 617-984-0044
  • Fax:
Mailing address:
  • Phone: 617-984-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. GURSIMRAN KAUR SIDHU
Title or Position: OWNER
Credential: DMD
Phone: 617-306-7303