MEDICARE: DR. CHARANPREET SINGH 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	1223G0001X	General Practice Dentistry	22DI02194200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700875218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARANPREET SINGH DMD

Provider Business Mailing Address
First Line	:	530 UNION AVE
Second Line	:
City	:	MIDDLESEX
State	:	NJ
Zip	:	08846-1934
Country	:	US
Telephone Number	:	732-356-1606
Fax Number	:	732-356-1501

Provider Business Practice Location Address
First Line	:	530 UNION AVE
Second Line	:
City	:	MIDDLESEX
State	:	NJ
Zip	:	08846-1934
Country	:	US
Telephone Number	:	732-356-1606
Fax Number	:	732-356-1501

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	07/08/2007

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