=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992781611
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HARJINDER SINGH D.D.S.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2005
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1675 BUTTE HOUSE RD
-----------------------------------------------------
City | YUBA CITY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95993-2101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-674-7440
-----------------------------------------------------
Fax | 530-848-5785
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1675 BUTTE HOUSE RD
-----------------------------------------------------
City | YUBA CITY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95993-2101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-674-7440
-----------------------------------------------------
Fax | 530-848-5785
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 47181
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------