Healthcare Provider Details

I. General information

NPI: 1750715389
Provider Name (Legal Business Name): RUPINDER KAUR UPPAL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RUPINDER KAUR

II. Dates (important events)

Enumeration Date: 08/30/2013
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 HERITAGE VILLAGE PLZ STE 101
GAINESVILLE VA
20155-3074
US

IV. Provider business mailing address

7220 HERITAGE VILLAGE PLZ STE 101
GAINESVILLE VA
20155-3074
US

V. Phone/Fax

Practice location:
  • Phone: 571-222-4401
  • Fax: 571-222-4402
Mailing address:
  • Phone: 571-222-4401
  • Fax: 571-222-4402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401414005
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: