MEDICARE: RUPINDER KAUR MULTANI DMD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	DN1858149	MA

General Provider Information

NPI Number	:	1487139127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUPINDER KAUR MULTANI DMD

Provider Business Mailing Address
First Line	:	18 CRAFTSMAN CT
Second Line	:
City	:	SOUTH GRAFTON
State	:	MA
Zip	:	01560-0086
Country	:	US
Telephone Number	:	724-234-8887
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MEDWAY RD
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-2923
Country	:	US
Telephone Number	:	508-478-2131
Fax Number	:

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

Provider Enumeration Date	:	09/28/2018
Last Update Date	:	05/18/2022

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