Healthcare Provider Details

I. General information

NPI: 1164882288
Provider Name (Legal Business Name): BIKRAM SINGH DMD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2016
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 PARKWAY OFFICE CT SUITE 104
CARY NC
27518-7426
US

IV. Provider business mailing address

155 PARKWAY OFFICE CT SUITE 104
CARY NC
27518-7426
US

V. Phone/Fax

Practice location:
  • Phone: 919-460-5454
  • Fax: 919-460-3939
Mailing address:
  • Phone: 919-460-5454
  • Fax: 919-460-3939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number9069
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BIKRAM SINGH
Title or Position: OWNER
Credential: DMD
Phone: 919-460-5454