Provider Demographics
NPI:1114006046
Name:SINGH, DARSHAN
Entity type:Individual
Prefix:DR
First Name:DARSHAN
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:DARSHAN
Other - Middle Name:SINGH
Other - Last Name:DHALLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BDS
Mailing Address - Street 1:35250-LAKE EDWARD DR .
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541
Mailing Address - Country:US
Mailing Address - Phone:352-583-4444
Mailing Address - Fax:352-583-5161
Practice Address - Street 1:33273 CORTEZ BLVD
Practice Address - Street 2:MANOR PLACE
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33523-9008
Practice Address - Country:US
Practice Address - Phone:352-583-4444
Practice Address - Fax:352-583-5161
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN89771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice