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General NPI Number Information
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NPI Number | 1124982103
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Entity Type | Organization
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Legal Business Name | GSG DENTAL PC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1902 N MAIN ST
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City | MISHAWAKA
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State | IN
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Zip | 46545-5614
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Country | US
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Telephone | 574-259-1563
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Fax | 574-259-1536
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Provider Business Mailing Address
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Address Line | 14881 BRENT HAVEN CT
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City | GRANGER
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State | IN
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Zip | 46530-4237
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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 | OWNER
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Name | DR. GAGANJOT SINGH
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Credential | DMD
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Telephone | 574-344-9416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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