Provider Demographics
NPI:1154496180
Name:SINGH, PREETI (DDS)
Entity type:Individual
Prefix:
First Name:PREETI
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8124 E CACTUS RD STE 400
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5262
Mailing Address - Country:US
Mailing Address - Phone:602-714-8219
Mailing Address - Fax:
Practice Address - Street 1:8124 E CACTUS RD STE 400
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5262
Practice Address - Country:US
Practice Address - Phone:602-714-8219
Practice Address - Fax:602-346-9054
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE65741223G0001X
AZ81071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025408800Medicaid
IA0727131Medicaid
NE1878071OtherUNITED CONCORDIA