Healthcare Provider Details

I. General information

NPI: 1538693601
Provider Name (Legal Business Name): TARANDEEP SINGH D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2017
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 BERGEN ST STE 7700
NEWARK NJ
07103-2425
US

IV. Provider business mailing address

110 BERGEN ST RM B851
NEWARK NJ
07103-2495
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-2444
  • Fax:
Mailing address:
  • Phone: 973-972-7973
  • Fax: 973-972-7322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI02698008
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number07412
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: