Provider Demographics
NPI:1417186248
Name:GARG, UPASNA KUMAR (DDS)
Entity type:Individual
Prefix:MRS
First Name:UPASNA
Middle Name:KUMAR
Last Name:GARG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:UPASNA
Other - Middle Name:KUMAR
Other - Last Name:GARG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:906-B OAK TREE ROAD
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080
Mailing Address - Country:US
Mailing Address - Phone:908-754-8881
Mailing Address - Fax:908-754-5588
Practice Address - Street 1:906-B OAK TREE ROAD
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080
Practice Address - Country:US
Practice Address - Phone:908-754-8881
Practice Address - Fax:908-754-5588
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI-21266122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist