MEDICARE: DR. JASPREET 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	122300000X	Dentist	12602	CT
2	390200000X	Student in an Organized Health Care Education/Training Program
3	122300000X	Dentist	060468	NY

General Provider Information

NPI Number	:	1972090256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASPREET SINGH DDS

Provider Business Mailing Address
First Line	:	2870 LONG BEACH RD
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-3114
Country	:	US
Telephone Number	:	516-670-1388
Fax Number	:

Provider Business Practice Location Address
First Line	:	2870 LONG BEACH RD
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-3114
Country	:	US
Telephone Number	:	516-670-1388
Fax Number	:

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

Provider Enumeration Date	:	04/22/2018
Last Update Date	:	08/03/2021

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