Healthcare Provider Details

I. General information

NPI: 1780357335
Provider Name (Legal Business Name): AMARJOT SINGH DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3452 ANDERSON HWY STE A
POWHATAN VA
23139-5845
US

IV. Provider business mailing address

3452 ANDERSON HWY STE A
POWHATAN VA
23139-5845
US

V. Phone/Fax

Practice location:
  • Phone: 530-588-5248
  • Fax:
Mailing address:
  • Phone: 530-588-5248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number107202
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401417605
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: