MEDICARE: DR. HARINDER PAUL SINGH

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	106027	CA

General Provider Information

NPI Number	:	1659965754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARINDER PAUL SINGH

Provider Business Mailing Address
First Line	:	21828 SE 269TH ST
Second Line	:
City	:	MAPLE VALLEY
State	:	WA
Zip	:	98038-7416
Country	:	US
Telephone Number	:	206-228-7914
Fax Number	:

Provider Business Practice Location Address
First Line	:	3526 MANTHEY RD
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95206-5301
Country	:	US
Telephone Number	:	209-983-1000
Fax Number	:

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

Provider Enumeration Date	:	03/01/2021
Last Update Date	:	03/01/2021

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