MEDICARE: DASA DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1083356034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DASA DENTAL PLLC

Provider Business Mailing Address
First Line	:	2564 E TURNBERRY DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85298-0030
Country	:	US
Telephone Number	:	860-575-7755
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 E CHANDLER BLVD STE 121
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-6280
Country	:	US
Telephone Number	:	480-460-1911
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. ADITYA SINGH
Credential	:	DDS
Telephone Number	:	860-575-7755

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	12/19/2025

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