MEDICARE: SUMEET SINGH DDS

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	1223G0001X	General Practice Dentistry	62514	CA

General Provider Information

NPI Number	:	1265872311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMEET SINGH DDS

Provider Business Mailing Address
First Line	:	7722 N ANGUS ST
Second Line	:	APT 210
City	:	FRESNO
State	:	CA
Zip	:	93720-0902
Country	:	US
Telephone Number	:	201-755-4755
Fax Number	:

Provider Business Practice Location Address
First Line	:	1513 FREMONT BLVD
Second Line	:	SUITE E-2
City	:	SEASIDE
State	:	CA
Zip	:	93955-4319
Country	:	US
Telephone Number	:	201-755-4755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2013
Last Update Date	:	07/02/2013

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