MEDICARE: MODERN DENTAL CONCEPTS, GURSHARANJIT SINGH, DMD, LLC

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

General Provider Information

NPI Number	:	1780518589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MODERN DENTAL CONCEPTS, GURSHARANJIT SINGH, DMD, LLC

Provider Business Mailing Address
First Line	:	14184 SHELDON RD
Second Line	:
City	:	BROOKPARK
State	:	OH
Zip	:	44142-3863
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4817 MAHONING AVE NW
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-1430
Country	:	US
Telephone Number	:	216-266-7599
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GURSHARANJIT SINGH
Credential	:	DMD
Telephone Number	:	216-266-7599

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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