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General NPI Number Information
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NPI Number | 1063918746
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Entity Type | Individual
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Provider Name | ROBINPREET SINGH PANNU DDS
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Gender | Male
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 4451 N RANCHO DR
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City | LAS VEGAS
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State | NV
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Zip | 89130-3405
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Country | US
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Telephone | 702-723-9528
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Fax |
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Provider Business Mailing Address
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Address Line | 5958 SOLSTICE DR
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City | SPARKS
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State | NV
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Zip | 89436-7141
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 6171670
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 12014033A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | S2-216
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License Number State | NV
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