1245354034 NPI number — DOWNTOWN DENTAL GROUP OF DRS SINGH,HEER AND KUMAR

Table of content: (NPI 1245354034)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245354034 NPI number — DOWNTOWN DENTAL GROUP OF DRS SINGH,HEER AND KUMAR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOWNTOWN DENTAL GROUP OF DRS SINGH,HEER AND KUMAR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245354034
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2948 FRESNO ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93721-1405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-264-0004
Provider Business Mailing Address Fax Number:
559-264-2026

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2948 FRESNO ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93721-1405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-264-0004
Provider Business Practice Location Address Fax Number:
559-264-2026
Provider Enumeration Date:
03/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KUMAR
Authorized Official First Name:
DEVINDER
Authorized Official Middle Name:
Authorized Official Title or Position:
GENERAL PARTNER
Authorized Official Telephone Number:
559-264-0004

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  41746 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G93660-01 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com