Provider Demographics
NPI:1427893437
Name:DANG, GAGANDEEP SINGH (DDS)
Entity type:Individual
Prefix:DR
First Name:GAGANDEEP
Middle Name:SINGH
Last Name:DANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3773 SONNET DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-8130
Mailing Address - Country:US
Mailing Address - Phone:716-415-0551
Mailing Address - Fax:
Practice Address - Street 1:801 W VERONA AVE STE D
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1482
Practice Address - Country:US
Practice Address - Phone:608-398-8128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001559-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice